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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th Street, Zephyrhil18, Ji'I, 33542 <br />813-78P-0020 FAX:813-780-0021 <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME eLl tVr <br />JOB ADDRESS 3f" & D ') <br /> <br />L 1+-11-1 pv (J <br />LA'V,S'/1t/6 AVe, <br />, <br /> <br />PHONE _6'1 3- 7 tf 2 - / O~ t.( <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION~3uzt=IY !-IoLe 0<.<./ <br /> <br />BLOCK <br /> <br />PARCEL ID # DZ-ZG- 2/ - D 2..(0 0 - 0000 ~ <br /> <br />ZD <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICF,) <br /> <br />WORK PROPSED: ~EW CONSTRUCTION <br />OSIGN <br />PROPOSED USE: ~L FAMILY DWELLING <br />OCOMMERCIAL <br /> <br />5I-1ill D IT ION <br />o MOVE <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />Gn'NSTALL <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOB I LE HOME <br /> <br />~THER <br />IJ Lv,1/L 11'1 u ,.vt <br /> <br />DESCRIPTION OF WORK <br /> <br />~S)P' AURANT & HEAL~PARTMENT APP~h <br />l..!:!.3:: , , '20 <br />IZII S;:.!Gj;;l, 12xs~;:;(lPO/2.r, {Of ( Uwfll(:;;J <br />/ I <br /> <br />'7J,o <br /> <br />PATiO <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT <br />ATTACH (3) SETS <br />PROPERTY SURVEY <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />PLANS &. (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />OF BUILDING PLANS & (1) SET ENERGY FORMS. I ~ ~ <br />REQUIRED FOR ALL NEW CONSTRUCTIO~ I'-J ~L--' <br /> <br /> <br />PERMITS REQUESTED ~~~ <br /> <br />1030'-/. 7 C( VALUATION OF TOTAL CONSTRUCTION 'S P~}:\L W ( <br /> <br />AMP SERVICE 0 FLORI DA POWER 0 W, R, E , c, %-T U}) <br />~M J)~ 1111i.~ <br />Wl \.1..... i N>Tv"K-\. <br />VALUATION OF MECHANCIAL INSTALLATION ,4{.C.:;.i\.)) ,r4li- T~ <br />S /Vf lJi ST~ r." r,:, ') <br />IIrv I) N fi't1 j'c I. ~ <br /> <br />f::i" .5/'2-~J~'1 <br />IS PROJECT IN FLOOD ZONE AREA 0 YES 0 NO <br /> <br />o OTHER <br /> <br />~ J ,q( <br /> <br />[iY8u !LDI NG <br /> <br />$ <br /> <br />o ELECTRICAL <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <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 />I <br /> <br />. .... .. -. <br />. . . . - - . - . . ' . . - . j .. <br /> <br />"..- <br />0' .. .. . <br />H'.. ' . ..., <br /> <br /> <br />COMPANY g (/...../ (' 011/5/ flJc T/ DIU tJr:: ~t7vf1l/( rL. <br />STATE CERT OR REGIST # .~P,(" 0 ~'7rJ i""-2.- <br />CITY PROCESSING # 2(", <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />~ A. t&W <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNAT_URE <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 />