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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th Street I Zephyrhills I FL 33542 It t <br />813-780-0020 FAX: 813-780-0021 J I '" oU <br />DATE RECEIVED I) .;; I <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME G Rfl,Nt? /-lOll (?(IN /h HI <br />JOB ADDRESS GI LC fJ VE LOT 16 ~ <br /> <br />PHONE 81"3 - 71' z - I 6 ~ 'f <br /> <br />SUBDIVISION.(::G'm-;v',tI !-I-6!Z( co;.! <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # ')L{-2'? -2 {- ODID ~ 020'00 - 0 / k 5- <br /> <br />(OBTAIN FROM PROPERTY TAX NOTTeF) <br /> <br />WORK PROPSED: ~W CONSTRUCTION <br /> <br />~DITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />Q-lNSTALL <br /> <br />OSIGN <br />PROPOSED USE: ~L FAMILY DWELLING <br />OCOMMERCIAL <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 MOBI LE HOME <br /> <br />f6QTHER <br />"q L<./;VI I ,A/ (/ Art. <br /> <br />D~AURANT & <br />~ <br />DESCRI PTION OF WORK ?;< I O,s Ev <br /> <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />7DD <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 />~LDIt'-JG <br /> <br />DY'E'LECTRICAL <br /> <br />PERMITS REQUESTED <br /> <br />$ }f'37/./? <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />OW. R . E . C. vv I t2{! .> flEa <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 />I S PROJECT IN FLOOD ZONE AREA 0 YES <br /> <br />o NO <br /> <br />",.....~...~~-~~~ ~-_........................ "''''!'''--;-n'''--'--'' <br />~i(~;)'~{1~h~;(~;:~~;t,)):!,,:~ ~~:IJ" \1;!11~'.:): <br /> <br />:.......-___~~......1_~....__~...._........____ ...~~_...........___.... ~ <br /> <br />SIGNATURE <br /> <br />~ 4. {bf~ <br /> <br />COMPANY g.., 1--1 COIV50TavG-fIDliJ ~F t'EillT(lA-{. [:(. <br />STATE CERT OR REGIST # C[!>cob7'1J-'L <br />CITY PROCESSING # 2-~ <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />1?~ lJ. ~~ <br /> <br />COMPANY /leE E L.eG r;z (c <br />, <br />STATE CERT OR REGIST # <br />CITY PROCESSING # 1?'1 <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />* * 1J( * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * ** * ** ** * ** * ** * * * * * * * ** * * * * * * * * <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR R8GIST # <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 />***************************************************************k* <br />