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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTHZNT 5335 8~ Str..t, Zephyrhill., FL 33542 <br />813-78P-0020 FAX:813~780-0021 <br /> <br />DATE RECE IWD <br />PLANS REVIEW nil <br /> <br />OWNER'S NAME CRA;";;} l-Io/2( co/v' /Yl HI <br />JOB ADDRESS AVE <br /> <br />PHONE ?' / "3- '7 r:f' z - I D0 r <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />LOT 2o?f <br />SUBDIVISION.&.m"v/ i-I-()(2( zw- /l7I1P <br /> <br />PARCEL ID i 1tf-2~--2-(:'- OO(O~ 02rroo- cY':iDt./ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~W CONSTRUCTION <br />OSIGN <br />PROPOSED USE: ~ FAMILY DWELLING <br />o COMMERCIAL <br /> <br />l!2rADDITION <br />o MOVE <br /> <br />OALTERATION <br />. 0 DEMOLISH <br /> <br />o REPAIR <br /> <br />BlNSTALL <br /> <br />OMULTi~FAMILY <br />o INDUSTRIAL <br /> <br />"'Ii:' , <br /> <br />0* OF UNITS <br />,0 SWIMMING POOL <br /> <br />o MOBILE HOME <br />~HER <br />/}L<./IYV 111/(/ ~ <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J~URANT & ~EALTH DE~. MENT.APPROVAL <br />l&t ~ (jY/ <br />S2(lt:.c POr!JM, . f?--PDIl.. rJ 51-+Ea . . <br />, ' <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />S3(P <br /> <br />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 />ctn3UILDING <br />g--ELECTRICAL <br /> <br />$ / if 550. q lo <br /> <br />PE~TS REQUESTED <br /> <br />" 'I.' ',..\ ...J...... <br /> <br />~ <br /> <br />~{\~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />OW. R. E . c. willE S riEl? <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 />.1 <br /> <br />,,,;,;1..1"., . <br /> <br />.'....:':'-:.....::...... <br />" , ,I, ..,,,1,: '., .. ..... ;,),;.': . ,.__,." <br /> <br />': ,."~~~~AN;;_T?(' /--1 ( OIV.srjLUw (Qlv or- Cr/lltM<- <br />" . S'l'ATECERT OR REG 1ST * c../?(Q '5''7? tf""2- <br />., cny- PROCESSING * .~ <br /> <br />BUILDER <br /> <br />FL. <br /> <br />SIGNATURE <br /> <br />~ <br /> <br />;J.rzM <br /> <br />. <br /> <br />******************************..********************************** <br /> <br />ELECTRICIAN <br />SIGNATURE_~ 4: ~ <br /> <br />,COMPANY I::;cr;; f5.L..Ec- ( fZ( L <br />STATE CERT OR REGIST i <br />CITY PROCESSING * IF'" 7 <br /> <br />*****************************.************************************ <br />'. <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST * <br />CITY PROCESSING * <br /> <br />SIGNATURE <br /> <br />****************************************.*.*****.*.***.*********** <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST * <br />CITY PROCESSING * <br /> <br />SIGNATURE <br /> <br />*******************************............**.******..************ <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST * <br />CITY PROCESSING * <br /> <br />SIGNATURE <br /> <br />********************************.....***************.************ <br />