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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 /;;Jbj It) 3 <br />DATE RECE IVED , . I - <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME {;tZA-NO /-I-f)fZ( Co,N JVl Iff <br />JOB ADDRESS j7S3 ~ !V[VJ I-I-O(z(20;V <br /> <br />PHONE ~ / 3 - '7 ,f z - loCo 'f <br />1-01 4~-r /.fer <br />SUBDIVISION {;;1Zt4No !-I-() IZIZcJ/v 11/-Ifl <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL 10 # 34 -2-S - 2,{ - 00 10 -0 Uoo - 0 '-I~-1.f7 (OBTAIN FROM PROPERTY TAX NOTICEl <br />WORK PROPSED: ~W CONSTRUCTION <br /> <br />DSIGN <br />PROPOSED USE: ~ FAMILY DWELLING <br />o COMMERCIAL <br /> <br />[M']\DDITION o ALTERATION o REPAIR !:3"lNSTALL <br />o MOVE 0 DEMOLISH <br />DMULTI -FAMILY 0# OF UNITS o MOBILE HOME <br />o INDUSTRIAL o SWIMMING POOL g- rf/WIYl ( II/V;ZI\ <br /> THER <br /> <br />DESCRIPTION OF WORK <br /> <br />ORES. NT <br />::2-1 <br />l (f" (l(;{(1/ !lOOM <br /> <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />19hYZ.oL( <br /> <br />PERMITS REQUESTED <br /> <br />~UILDING <br />Ii2riLECTRI CAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />OW. R. E . C. Wi (U: S/-/-['fJ <br /> <br />o PLUMB I NG <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />SIGNATURE <br /> <br />~4. rM,~ <br /> <br />COMPANY T3 t 1-1 (' ON~ 172uc n ON & F C6iu/72A<. (-c \ <br />STATE CERT OR REGIST # (BCo 5'7'7 cfz.. <br />CITY PROCESSING # 2 ~ <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~ A, <br /> <br />~ <br /> <br />COMPANY It c E t LtC. r f2t ( <br />STATE CERT OR REGIST # <br />CITY PROCESSING # I ~r"f <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBER <br />I <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />