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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542 I <br />813-780-0020 FAX:813-780-0021 <br />DATE RECEIVED I, :17,1 t!JY <br />PLANS REVIEW Ii'EE <br /> <br />JOB ADDRESS <br /> <br />{J TlIt-/vO /-ID (Z(7:oIV IJlll-lf <br />,3 71f5(~ Cf lie! 'hVF- <br /> <br />, <br /> <br />PHONE ,y13-'7~2-IOfoL( <br /> <br />OWNER'S NAME <br /> <br />~OT 70'/ <br />/ <br />SUBDIVISION Gj2/1IVtJ /-IOlZ( 7tr-1 ;v1l-/f? <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL 10 # <br /> <br />?If - "2 ~ - 2 I - f!) () ( 0 - 0 zcr 00 - 0 ~ 5" <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: 51NEw CONSTRUCTION <br />OSIGN <br />PROPOSED USE: ~L FAMILY DWELLING <br />OCOMMERCIAL <br /> <br />IB"ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />~NSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0* OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o /JL VI>>' IV i/>f^- <br />OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J REST~X & HEALTH DEPARTM~PPROVAL ~ <br />& f.l!-Y . (~ <br />1 L X I L( C {u3{:::/v !2c3{J-/'V\. j f- Y. -g::: .> ;Jlfb7. I Z 'l""7v, c A(2fJO(2 ,. <br />/ / <br />St.f-tf <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <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 />PERMITS REQUESTED <br /> <br />~ILDING <br />~ECTRICAL <br /> <br />$ IV 3(3.77 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. t-VI/U~ [;(-IEpl <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />$ <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 />.-.... <br />. . . . <br />-- . ..... <br /> <br />BUILDER <br />SIGNATURE ~ /-], ~ <br /> <br />C~MPANyJ?N1CON$n-r..L-nO)l./ /j~ CENf!2fl.<- Fc. <br />STATE CERT OR REGIST # Ct?co'SrJ'7cfz.. <br />CITY PROCESSING * 7 ~ <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />IL iL <br /> <br />CUA <br /> <br />COMPANY tJc. ~ f Lee fa ( '-- <br />STATE CERT OR REGIST # <br />CITY PROCESSING # I P'7 <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br />" <br /> <br />COMPANY <br />STATE CERT OR REGIST # . <br />CITY PROCESSING # <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />OTHER <br /> <br />********************************************************.********* <br />