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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 />DATE RECEIVED <br /> <br />..j-/j-()i <br />I <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME 3E'1fy {!. JOtI~5otJ <br />3'7 '/0 i ?/~kE77j /Jf; ~ ~ <br /> <br />LEGAL DESCRIPTION: LOT (S) -5 c; BLOCK <br />PARCEL ID # [)3/~I2~/02~kotJ~;0SqO <br /> <br />WORK PROPSED: ~W CONSTRUCTION o ADDITION <br /> <br />JOB ADDRESS <br /> <br />PHONE (j:52 ).56 '1- 313? <br />/l ..IE. <br />SUBDIVISION5;~f/t* O/lK'.> Vi~L-/f6E <br /> <br />(ORTAIN FROM PROPERTY TAX NOTIC-El <br /> <br />DS:;9N <br />PROPOSED USE: ~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />DALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <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 /> <br />DESCRIPTION OF WORK .5/N6L~ r7r/l1ILV ;PtJ!!?L-/~& <br />5('(, // /_ I II I d <br />BUILDING SIZE 3 U 8 X <?'Z ([ SQUARE FOOTAGE 2 1/ b <br /> <br />HEIGHT <br /> <br />o( <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 />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o BUILDING <br />o ELECTRICAL <br /> <br />$ 7 ~ t/tJ(J. 5!- <br /> <br />. <br /> <br />Zoo <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE ~LORIDA POWER 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br />./ <br /> <br />$ <br /> <br />.r;;? o-cJ <br />~tJO(). - <br /> <br />. <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br /> <br />ailll?N <br /> <br /> <br />, ailll?N <br /> <br />Eu61S <br /> <br />-=l-U <br /> <br />u61S <br /> <br />self Ol[M 0 <br /> <br />JO 'aill 0-=1- UMOU~ ATTEUOSJad s1 Ol[~ <br />(pa6paTMou~~E uosJad JO aillEu) I ' <br />Aq <br />AO O~ ' to .+ JO ^l?P~ s14-=1- Sill a.:roJs8 <br />pa6pal u~~ Sl?M -=l-uailln<<~su1 6U106aJoJ al[~ <br />0') ('>.1)" ,,/ .3:0 ^~NOO;) <br /> <br />.I 0 -=I- UMOU~ AITl?uos.Iad s1 04MlO <br />(pa6paTMOU~Ol? uos.Iad JO ailll?u) I' <br />Aq <br />~OO~ ' ~rY JO i\l?p ~ s1l[-=I- aill a.IoJa8 <br />pa6paTMou~o~ SEM -=l-uailln.I~~1 6u106a.IoJ al[~ <br />(}-:>~~ A .3:0 ^~NOO;) <br />