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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~Stre.t, Zephyrhill., J'L 33542 <br />813-780-0020 ..AX: 813...780-0021 ~ ,-) J -0/' <br />DATE RECE IVED d.. <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME C I T(lJ f /-J~ /1/1 Ii / /II L <br />JOB ADDRESS L 0 /2[IvH /J V E <br /> <br />PHONE 7/' 2. - I LO ~ '-! <br /> <br />t~T ) 5. ~ . <br /> <br />LEGAL DESCRIPTION: LOT (S) BLOCK SUBDIVISIONl:~&/tItl I-!D/lJ 24"1" mil? <br />PARCEL 10 i '&,4 - 25 -2 ( - D010 - 0 z.~oo):.;.' oj :?JIOBTAIN FROl1 PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~ CONSTRUCTION <br />o SIGN <br />PROPOSED USE:~L FAMILY DWELLING <br />OCOMMERClAL <br /> <br />@'ADDITION <br />o MOVE <br /> <br />OALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />e-rNSTALL <br /> <br />~,." . <br /> <br />OMULTIrFAMILY 0* OF UNITS <br />o INDUSTRIAL : ,0 SWIMMING POOL <br /> <br />o MOBILE HOME <br /> <br />~HER <br />,q. L- v'i1/l I ft/ (.11,1"1 <br /> <br />BUILDING SIZE <br /> <br />CJ R~NT & HEALTH DEPARTMENT ,APPROVAL~' <br />/D)< ~tZcFIV f&o/L-\, C--~;-fe~1 "L~A.flIOil~ <br />, , <br /> <br />1$"0 <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS &, (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: .ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />,,' '.."".,'\ ".J.,' <br /> <br />~TLDING <br /> <br />$ ] '3 '717'3 . 7'1 VALUATION OF TOTAL CONSTRUCTION <br /> <br />G ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <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 AREAO YES 0 NO <br /> <br />..;:::;.:,...::;!.:):,; <br /> <br />.',.','.:.",::::,,::,_:;;'o:.'HH H'H".. <br />.' :' ""C~~~A;~J? {II- (~/I./jr,fl-Jci(/),v i;f-. {(-:'A7/lr1C Fe... { <br />. _ S1i'ATE CERT OR REGIST * C ESe c '57'1 cr-L- <br />CITY PROCESSING * r~& <br /> <br />.I. <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />r3>>u 12 I <br /> <br />~~ <br /> <br />*****************.*********************.***~*********~************ <br /> <br />. ~ . ':' <br /> <br />SIGNATURE <br /> <br />,COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING * <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br />'. <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST * <br />CITY PROCESSING * <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY 'PROCESSING * <br /> <br />MECHANICAL <br /> <br />. -. <br />******************************.*..******************'.************ <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERTOR REGIST * <br />CITY PROCESSING * <br /> <br />OTHER <br /> <br />*****************~*********************************************** <br />