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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ Street, Zephyrhil18, FL 33542 <br />813-780-0020 rAX,813-780-0021 y? 4~ <br />DATE RECE IVED _ 0, <br />PLANS REVIEW FE <br /> <br />OWNER'S NAME {;r'l.i}-i\/!J <br />JOB ADDRESS 573L(1 <br /> <br />JkfU Z~/J M /-liJ <br />. <br /> <br />Ci L L fJ V E /.--D T <br /> <br />PHONE d/13- 7 f-z -( ()~ L( <br /> <br />/7Lf <br /> <br />SUBDIVISION 6t2tA-(II~ /-k{2( (:Ofl/ .ff/I-/f? <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL 10 # JIf- 2--5- Z( -00(.0 -02-1'"00 - Or'lL( (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~EW CONSTRUCTION []1\DDITION DALTERATION 0 REPAIR [JrTNSTALL <br /> <br />o SIGN <br />PROPOSED USE: ~ FAMILY DWELLING <br />DCOMMERCIAL <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 />~HER <br />A-i...--t./ fVl. I .v J N'-- <br /> <br /> <br />CARlo ~ r <br /> <br />DESCRIPTION OF WORK <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 />~ILDING <br />bTRICAL <br /> <br />$ 2609'0, 07 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W. R. E. c. tJ//lE. 51dE/:1 <br /> <br />o PLUMB I NG <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 AREAO YES 0 NO <br /> <br />:::'..:.,:i:!"j'.: <br /> <br />......,..:;".:-:"....... <br /> <br />C;~~ANY_t> N-f cCIVc;nwcr;~v of Cc~ FC \ <br />STATE CERT OR REGIST # .. cReo 5 r; '7 tfL~ <br />CITY PROCESSING # 2 ~ <br /> <br />.1 <br /> <br />BUILDER <br />SIGNATURE _~ <br /> <br />/J \ CCd~ <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~ I~~ (UAJ <br /> <br />, <br /> <br />COMPANY /leE (~ [f( nu c <br />STATE CERT OR REGIST # <br />CITY PROCESSING # J~7 <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br />'-. <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />PLUMBER <br /> <br />****************************************************************** <br /> <br />MECHA!UCAL <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 />