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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ Street, ZephyrhillB, FL 33542 <br />813-780-0020 FAX: 813-780-0021 % (t, <br />DATE RECEIVED .,/, . () tOy. <br />, , <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME {;M;JtJ /-/()jl{ 7tjf'i' ;J11-1;l <br /> <br />JOB ADDRESS 37 -131 GilL AVE <br /> <br />PHONE rfl j - '7 J'z -I tJ (, L{ <br /> <br />BLOCK <br /> <br />/-or /73 <br />SUBDIVISION.~t;t,N,?J /-!D/2tZojl/ n/lf <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # ?If - 25 - -:II - 0010- tJ 2rOO- n/'7 '5 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTIC8\ <br /> <br />WORK PROPSED: ~W CONSTRUCTION <br />OSIGN <br />PROPOSED USE: ErSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />~DITION <br />o MOVE <br /> <br />OALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />[5fNSTALL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br /> <br />rnoTHER <br />flW/1/l (;J~ <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />loot' <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 />CY8UILDING <br />u;;:rELECTRICAL <br /> <br />$ <br /> <br />},fJclf. s 5 <br />, <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />OW. R. E. c. bJllli .<'fltL/ <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <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 />.I <br /> <br />..". :-.:._.:;;1.;)'.j <br /> <br />'>".,:'-;. <br />:::i;;..;:;i;i<.>:::i.:;: . r;;: ;" . ." .. <br /> <br />C~M~ANyJ3N-I ("f'J~rtW(rtOI'; /)F CEtlI17lAC <br />STATE CERT OR REGIST # C(?,ro 5717 h. <br />CITY PROCESSING It "2-&' <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />1Z- ;J. a~~ <br /> <br />Fe. <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~ /J,' rzi~ <br /> <br />. <br /> <br />COMPANY fk E E LE c T12r c <br />STATE CERT OR REGIST # <br />CITY PROCESSING # J r r; <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br />'-. <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST * <br />CITY PROCESSING It <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 />