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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 ~~~-;lo~ <br />DATE RECE IVED ~ <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME:: GOf~ t\ Pl\....u...-Lil-- T~{3'f iY\1-<- <br />JOB ADDRESS '-110 9 <br /> <br />1imbif~' <br />3~ <br /> <br />PHONE fls 7k';;' --o~ 7? <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUB or V I S IO N Cou..-f 1- 5 tfJ (..lA.y" e.. <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />BLOCK <br /> <br />PARCEL ID # IS-~ ";L' - D~()O - OCC:OU - 03>,;),0 <br /> <br />WORK PROPSED: utNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br />PROPOSED USE: @"SGL FAMILY DWELLING <br />DCOMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o JVJOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK c...enS.trLLC+ Y1~ ~jl.~1 ~ r1\Jlson....) .~-<.. <br />BUILDING SIZE SQUARE FOOTAGE ~~l HEIGHT <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 />t <br />G\) <br />x\} <br />Qt'BUILDING <br />[3"" ELECTRICAL <br /> <br />7o",L X <br /> <br />$ G'fX ,l)C("'),OQ <br />~OO <br /> <br />AMP <br /> <br />ENGINEERED PLANS <br />PERMITS REQUESTED ON FILE <br /> <br />VALUATION OF TOTAL CONSTRUCTION.~ ~~~ <br /> <br />SERVICE ~ -f'LC'RIDi\ rOWER 0 W.R.E.C, ~d. <br />p(cye...~ive f..n.e.rjV <br /> <br />0"" PLUMBING <br />0"MECHANICAL <br /> <br />$ <br /> <br />'3~.oo <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: ~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 AREAD YES ~10 <br /> <br /> <br />BUILDER <br />SJGNAT~.~'d_ <br /> <br />COMPANY 'T~ 6l"I'f,\L4 ~O(".ct..,.~.s I~C.. <br />STATE CERT OR REGIST # C. e,c.. 043Lf~d- <br />CITY PROCESSING # 3~' <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN(:r <br /> <br />SIGNATURE ~i <br />'/ <br />,// <br />I" <br /> <br />A~- <br /> <br />COMP AN Y VYt..a...t h'n E:. k (... +r,' <- '~ . <br />STATE CERT OR REGIST # E.C I 3CO 1"3~ 3 <br />CITY PROCESSING # q, <br /> <br />****************************************************************~* <br /> <br />PLUMBER ~ <br />SIGNATURE ,_~J,: ~ ~ <br /> <br />Ar~~A. ~C-~I~PtL-Ut.b~(o]t:.c <br />COMPANY <br />STATE CERT OR PEGIST # CFCOY 17.;L\ <br />CITY PROCESSING # I~~ <br /> <br />SIGNATURE <br /> <br /> <br />************************************************************ J <br />COMPANY ~lU\( 'oS 'Prop~ MltLS €I>>- c.. <br />, S CERT OR REGIST # C~ L-CY3'l4 g <br />CITY PROCESSING # I~ <br /> <br />MECHANICAL <br /> <br />******************************************************,** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNA'rURE <br /> <br />*********************************************************~******* <br /> <br />~ Iz-/ t tt <br />