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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th st, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />:3 -if- -- oi <br />DATE RECEIVED. 0 <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME ~a.lolC. ci Cl-w--let1e, \~Y\s.mo...n <br />JOB ADDRESS 3~S-'D ld-.t(-~t..t:C.. Z4J~r 1.1, Its <br />LEGAL DESCRIPTION: LOT (S) 3 BLOCK 53 <br />PARCEL ID # 11- a<.c-,;n -(j..)'()-OS~OO-ro to <br /> <br />PHONE(8) 3] -,g 3 -I QS I <br />33S4?- <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o SIGN <br />PROPOSED USE: ~L FAMILY DWELLING <br />o COMMERCIAL <br /> <br />~DDITION OALTEPATION o REPAIR o INSTALL <br />o t10VE 0 DEMOLISH <br />OMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br />o INDUSTRIAL o SWIMt1ING POOL o OTHER <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />a.;b.ss+t~ o..dct\-h~ 1- <br /> <br />\tJO A-~ ~Uee.t-'--rOO YYr <br />SQUARE FOOTAGE '3 ~O.ss- <br /> <br />HEIGHT <br /> <br />BUILDrNG SIZE <br /> <br />RES I DENTIAL: <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 />Ei'SUILDING <br />c5""ELECTRICAL <br />0"PLUMBING <br />~ECHANICAL <br /> <br />PERMITS REQUESTED <br /> <br />$ d a.~8).oo <br />tN::x:> AMP <br />( ~iS~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />SERVICE <br /> <br />g/ FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />~~ S".DO <br /> <br />VALUATION OF MECHANCIA!. INSTALLATIONQ <br />o OTHER ~ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />TYPE; OF CONSTRUCTION: ~LOCK <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 ~ NO <br /> <br /> <br />BUILDER COMPANY ~13'1,^k.- 4: I4uOU'~, ~C. <br />~. _.~ STATE CERT OR REGIST # (b('043>lfa--?- <br />SIGNATURE ~))~? CITY PROCESSING # 3~ I <br /> <br />******************************************************+***+****+k+ <br /> <br /> <br />SIGNATURE <br /> <br />Cm1PANY mo....rtiv\t-Iatvi (.. .--rt;C <br />STATE CERT OR REGIST # c.C 1300 \ -3 ~3 <br />CITY PROCESSING # 91 <br /> <br />****************************************************************** <br /> <br />PLUMBER <br />SIGNAtURE <br /> <br /> <br />C>l- <br /> <br />COMPANY ScJ\I C-WlGLV\.. 1> ll.U'Y1 bl~ <br />STATE CERT OR REGIST # eRa Ila. \ <br />CITY PROCESSING # I;}...l <br /> <br />SlGNl\TURE <br /> <br />****************************************************************** I <br />COMPANY ~('.s. ~O'Ptuol.~Ga..s ~ t4- C!.. <br />~ /\ /7 STATE CERT OR REGIST # C-A1- O'i3ot'-\~ <br />f~ CITY PROCESSING # \-, <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNAtURE <br /> <br />***************************************************************** <br />