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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ Stre.t, Zephyrhill., FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />'<{/?o~C . <br />DATE RIlCE IVJlD r ' // <br />PLANS REVIEW nE <br /> <br />JOB ADDRESS <br /> <br /> <br />/11/-1-P <br />". \/E L{) <br /> <br />PHONE /? /3 -7 (fz - I06l{ <br /> <br />OWNER'S NAME <br /> <br />u:> ( <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID # 5~-Z'5'-2( -ODIO-O?-t?DO-O'~OI <br /> <br />SUBDIVISION k~j\lO /-IOfZlzej/ ;n I-Jp <br /> <br />{OBTAIN FROM PROPERTY TAX NOTTCF,\ <br /> <br />WORK PROPSED: ChfEW CONSTRUCTION <br /> <br />OSIGN <br />PROPOSED USE: ~L FAMILY DWELLING <br /> <br />liJ'1\DDITION <br />o MOVE <br /> <br />OALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />~STALL <br /> <br />.,. ,d" ,'. <br /> <br />o COMMERCIAL <br /> <br />O. OF UNITS 0 MOBILE HOME <br /> <br />. ,0 SWIMMING POOL u;ro;:HER <br />. . .I4L(/J1Il, /IVV ~ <br />c:J REST~ & HEALTH ~MENTAPPROVAL ~~ <br /> <br />--1 L X r L- ~0V !2~/)J'Vl, h~ )/-fr.!/ J I Zf '2 7 CA-R-jl~ I2r <br />/ f <br /> <br />OMULTI~FAMILY <br /> <br />o INDUSTRIAL <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />552- <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 />~ILDING <br />~LECTRICAL <br /> <br />$ ILl If:~! 3, q 3 <br /> <br />PERMiTS REQUBSTED <br /> <br />(' " <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W. R. E . C . M,JI!lf' 511ft? <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 AREAD YES 0 NO <br /> <br />,I., <br /> <br />., ,... ... -.. - -,. <br />.... -, ,...... ........,.. ..,,, <br /> <br />:..:i:i..)' : <br /> <br />'.-..... <br />',. , ..,'.:,,, ,: !,;'. ............,. <br /> <br />. . ..': "\'C~~~A~~$'H r o~;' r(tVG rl 1)/,-/ f) t'- {OvTMc Pt. <br />'., St'ATE CERT OR REGIST . Cf?L6~7'7 rz- <br />.CITY PROCESSING . ~. <br /> <br />BUILDER <br />SIGNATURE _~ <br /> <br />/J. GU~ <br /> <br />. <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />(~ fl'. ~~ <br /> <br />. COMPANY_~: r; L [ L T7L( c.. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # 1~7 <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 />**********************************************t******************* <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY 'PROCESSING i <br /> <br />SIGNATURE <br /> <br />**..*.************.***.*********.*..*.~......**..**************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT 0R REGIST i <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*****************.*********************************************** <br />