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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMlNT 5335 8~ Street, Zephyrhill., FL 33542 ;;; <br />813-78P-0020 rAX:813~780-0021 <br />DATE IUlCEIVIlD 0 ~/t.7' <br />PLANS IUlVIZW FEE <br /> <br />OWNER'S NAME ~ Vi/ <br />I i/. ~ <br />JOB ADDREss37Lf/1 <-, 7. <br /> <br /> <br />1m ;+ f <br />UJT <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PHONE f-j"5 - '7 t? Z -I (!){:; 'f <br />d11 <br /> <br />SUBDIVISION e8/lAtttllJ,,e( 2QV j11H/ <br /> <br />PARCEL 10 i <br /> <br />:>~ -25 - 2( - Doto - {)2~CO~ OJioo <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~W CONSTRUCTION <br /> <br />OSIGN <br />PROPOSED USE: ~ FAMILY DWELLING <br /> <br />B1illDITION <br />o MOVE <br /> <br />OALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o-nrSTALL <br /> <br />OCOMMERCIAL <br /> <br />o MOBILE HOME <br /> <br />Et(;;HER <br />A /-Um I /l/U' ,4/\- <br /> <br />c:J[tti1-TAURANT & HEALTH D~ENT APPROVAL ~~ <br />I</C\ . ~ <br />I? f I S 1-I6iJ. 1 LX I L( &c . eN f200/V\. I /2 x j.-v C4~/loll{ <br /> <br />I '72-1 <br />SQUARE FOOTAGE ~ HEIGHT <br /> <br />OMULTI-FAMILY <br /> <br />Oft OF UNITS <br /> <br />o INDUSTRIAL <br /> <br />.0 SWIMMING POOL <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <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 />~LDING <br />~LECTRICAL <br /> <br />$ I b r; c;3 I 3 2-- <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E,C,l-J1I2fi slfEtJ <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 AREAO YES 0 NO <br /> <br />.1: . <br /> <br />" ;::..:.:::1..1'.: ':.j;::;. <br /> <br />.....>.;::_;: <br />; ; ; : : ,;. ; : ,i ,; ~; . _ ) i ;: .': ',.::;'.; ::::: :::: ~:::::. <br /> <br />. C~M~ANY g~I-I(OiJ?r;t..v<'-77;JA/ O~ LE~T(Z.4'- <br />STATE CERT OR REGIST It Cr? cO ~ 716"2- <br />CITY PROCESSING It 2 ~ <br /> <br />.., .1' <br /> <br />BUILDER <br />SIGNATURE _~ /~. CU& <br /> <br />;:: [ , <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~ III QA!~ <br /> <br />.COMPANY licE EL-E- LT7Z.i e- <br />STATE CERT OR REGIST It <br />CITY PROCESSING *-1 P'r7 <br /> <br />ELZCTRICIAN <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 It <br />CITY 'PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT 0R REGIST i <br />CITY PROCESSING ft <br /> <br />SIGNATURE <br /> <br />*****************-*********************************************** <br />