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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPAR~NT 5335 8~ Street, Zephyrhill., FL 33542 <br />813-78P-0020 FAX:813-780-0021 <br /> <br />DATE RECE IVIlD 3 ~ ;;l;( - 0 y <br />PLANS REVIEW' FEE <br /> <br />OWNER'S NAME {;(z/I-N() /-10/2 ( 2 DIV fYl /f;J <br />JOB ADDRESS ,3 73 0 ~ {;/ Lc A \/E <br /> <br />1-0, <br /> <br />PHONE j/ / "3 - '7 f Z - I D ~ 4' <br /> <br />, (.,~ <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION 6f?/+1vo !-ktzIZo/l/ /J11f;7 <br />PARCEL 10 * 14--- 25 - 2 (- ODID - OZJ--c)o - D'tfcG (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPSED: lit'f.lEW CONSTRUCTION ~DITION OALTERATION 0 REPAIR ~STALL <br /> <br />OSIGN <br />PROPOSED USE: ~ FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />. , <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0* OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br /> <br />~ER <br />Ii LVfl/l I,uVWt..... <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J ~~RANT & HEALTH~TMENT APPROVAL <br />~ t'~, ~ <br />]/J )(:7,,) r./JlZ/lo(Lr, /1-- X' T(/Zt:ff/J jZOOI'lA, I()X~FO <br />I . , <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />~G? <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 />'" "'-"","1 ...,'.' <br /> <br />~UILDING <br />~CTRICAL <br /> <br />$ lq3f~2'7 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W. R. E. C, wi fl./f :; If6;;; <br /> <br />o PLUMB I NG <br />o MECHANICAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <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 />IS PROJECT'IN FLOOD ZONE AREAO YES 0 NO <br /> <br />.,;;;.::.:.,:;;1,;)',; <br /> <br />,..,',:.,::..'"L_;,,'.:.,.,.....,::...... <br /> <br />.' ,', ....C~~~A~';' t3 ~ (--I {O;V'? r/LU ( Tf o~ 0(: Q:.vTl1A-L I::G. <br />. STATE CERT OR REGIST * Cl3c c 6"7t{ J' z. <br />CITY PROCESSING * 2" <br /> <br />.1 <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />~tM- fl, CU~ <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~;J <br /> <br />aeuY <br /> <br />COMPANY ffc..fZ ~U( TIlt c <br />STATE CERT OR REGIST * <br />CITY PROCESSING * 1 J>'7 <br /> <br />ELECTRICIAN <br /> <br />****************************************************~************* <br />'. <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST * <br />CITY PROCESSING * <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST * <br />CITY 'PROCESSING * <br /> <br />MECHANICAL <br /> <br />**.**.*******.********************.****~****.******************** <br /> <br />COMPANY <br />STATE CERT OR REGIST * <br />CITY PROCESSING * <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />