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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMEN'l' 5335 B'" Btreet. Zephyrhills. FL 33542 ~ ~ . <br />B13-7BO-0020 FAX, B13-7BO-0021 ~ 2:fi;r <br />DATE RECE IVED <br />PLANS REVIEW FEE <br /> <br />OWN}R! S NAME f?oI5E/!T N' AAI/} E/LP~A/ c ' <br />(pI ()O <br />JOB ADDRESS ~/ 5/L.. vEf oAk!" <br /> <br />," II <br />LEGAL DESCRIPTION: LOT(S) LoT //J,fJfc€(, 8 BLOCK <br />I <br />PARCEL 10 # Of 26 2 I 002..0 00000 00/0 <br /> <br />hE.uJS; <br />L>K:. <br /> <br />PHONE <br /> <br />?/-? <br />~L. <br /> <br />b / t7 ,- 05"9. /;'" <br /> <br />ZEI'HYR#JLL5 <br /> <br />SUBDIVISION S/~vrJf. <br /> <br />oAks <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~EW CONSTRUCTION <br />DSIGN <br />PROPOSED USE:~SGL FAMILY DWELLING <br />DCOMMERCIAL <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <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 MOBILE HOME <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK (lDrJ5-li[UC-n 00 l5'F /o.Jia.V ~I DE:0C ~ <br />BUILDING SIZE '/;.: 'f. S-o' SQUARE FOOTAGE :( D ~3 HEIGHT <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 />!B"8UILDING <br />cvELECTRICAL <br />g"PLUMBING <br />~ECHANICAL <br /> <br />PERMITS REQUESTED <br />11c.J1~5~oO VALUATION OF TOTAL CONSTRUCTION <br /> <br />~~ 3o/~ <br /> <br />$ <br /> <br />:;LtX) <br /> <br />AMP SERVICE <br /> <br />l;i FLORIDA POWER <br /> <br />o W.R,E.C. <br /> <br />$ <br /> <br />3,.:J-.()7) - <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: ~ BLOCK 0 FRAME <br />FINISHED FLOOR ELEVATIONS qD' <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br />SIGNATURE <br /> <br />p;J~ COMPANY <br />J1. ' STATE CERT OR REGIST . <br />~__ . __ ______ ~ CITY PROCESSING # <br /> <br />******************************************************************~ <br /> <br /> <br />BUILDER <br /> <br />ELECTRICIAN \ ~ <br />SIGNATURE <? ;-~ <br /> <br />COMPANY L.&H~eU(LL.s ~\e.t~ ..5E::r...\1Ici': <br />STATE CERT OR REGIST # Ef2.co049 <br />CITY PROCESSING # qlo <br /> <br />SlGNATURE <br /> <br /> <br />. <br />*****************************************************,******~V.ft~ j'VI ,7:11'16. <br /> <br /> <br />) COMPANY {'Of..-by ..JAVDE$. I '"CJO~k it? <br />~/ STATE CERT OR REGIST # I2F G~13 / <br />Cl TY PROCESSING # /66 <br /> <br />PLUMBER <br /> <br />**********************************~**************~ <br />MECHANICAL 4 COMPANY f:AM':5> i200th0~ ~ ~ Ale... <br />r;/ A / STATE CERT OR REGIST # CA(~O tf 3q vii <br />SIGNATURE / ~ CITY PROCESSING # J, <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*********************************************************~******* <br />