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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br /> <br />BUILDING DEPARTMENT 5335 8~ Street, Zephyrhills, FL 33542 ~6~ <br />813-78P-0020 FAX:813-780-0021 ~1 ( <br />DATE RECEIVE <br />PLANS REVIEW FE <br /> <br />OWNER'S NAME c;/ZA-tJO /-10 fZ{ c()# fYl fif PHONE ,fl3 - 7cf'2- / ()6t.( <br />JOB ADrJ~~o' 1..-11' !l~ft-"~ {1 v' E LD' 20&; <br />LEGAL DESCRIPTION:10T (S) BLOCK SUBDIVISION ~4VO /+0/2 (Z<>V fYll-J.fJ <br />PARCEL 10 # -:?If - z r; ~ 2-l - [) 0 I 0 ~ () 2-0- DO - 02{)~ (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~W CONSTRUCTION <br />OSIGN <br />PROPOSED USE: ~ FAMILY DWELLING <br />DCOMMERCIAL <br /> <br />Gn\DDI TI ON <br />D MOVE <br /> <br />DALTERATION <br /> <br />D REPAIR <br /> <br />0'1NSTALL <br /> <br />D DEMOLISH <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />D MOBILE HOME <br />~ L V p1.- I X/./lV". <br />OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J ~RANT & HEALT~ARTMENT APPROV <br />? ) Z- q S/-Jhkl L.. ~=";" l!()(WVL , L <br />IIl{O <br /> <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <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 />PERMITS REQUESTED <br /> <br />~~ILDnJG <br />~LECTRICAL <br /> <br />$ /q if] f!) 5' <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D fLORIDA POWER <br /> <br />D <br /> <br />W.R.E.C, WI~~ >/.J{'O <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />o GAS <br /> <br />D ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />D OTHER <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED fLOOR ELEVATIONS <br /> <br />I S PROJECT IN FLOOD ZONE AREA DYES D NO <br /> <br />SIGNATURE <br /> <br />~ 4~ ~) <br /> <br />.._"..... <br /> <br />C~MPANyJ> f (-{ (O(v~r(ZvG. n 01'" of C6vTTZAC FL \ <br />STATE CERT OR REGIST # "'C{5C 0 ':)7'7 t9 ~ <br />CITY PROCESSING * '2 ~ <br /> <br />I <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~;1'~ <br /> <br />COMPANY A.u~ &L.Fc-- T/c~t ~ <br />. <br />STATE CERT OR REGIST # <br />CITY PROCESSING It /8'1' <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br />"-. <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />********************************************************'k******** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />OTHER <br /> <br />***************************************************************** <br />