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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ Street, Zephyrhill., FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECE IVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME G?J2~/Vt? <br />JOB ADDRESS J 7 ~ I 2.-- <br /> <br />U f <br />orZ{ zo;^v <br />(\I E (j K 0 VV1.. <br /> <br />1M fli~ <br />AvE- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PHONE g;: I '3 - 7 f z -106 <( <br />iA) r 2.q r J 0 <br />SUBDIVISION,~/Vt7 JJotzf ZIJ;J mHf' <br /> <br />PARCEL ID # 14 - 2C;-2.[ - 001 U - D z.?{)O - O:2-'1~3o IOBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~W CONSTRUCTION <br />o SIGN <br /> <br />PROPOSED USE: ~ FAMILY DWELLING <br />OCOMMERCIAL <br /> <br />Q-1([)DITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />CB-"fNS TAL L <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 />~ER <br />;+Lufi1' J ;.JUnA. <br /> <br />DESCRIPTION OF WORK <br /> <br />~AURANT & HEALTH DEPART~PPROVAL <br />~ <br />L,f 'f. I LD V (:/l(:tJ /)JA-d{VVf}'{, 20 x. '3) c/l/l..f'ofl- r +- Sj-h~tl <br />I <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />(yf{z- <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. /q f "~' <br /> <br />.::> '-J <br />0<), <br /> <br />PERMITS REQUESTED <br /> <br />[]Y'I3'(]IL DIN G <br />~ECTRICAL <br /> <br />$ 19 2 Cj 9, I~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />OW. R. E . C . w /(lIe .5//,;1/ <br /> <br />o PLUMBING <br /> <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 OT H ER <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 <br /> <br />. '... .. '. <br />.... ........;.. , <br /> <br />..'.","-".",' <br />. d' ... <br />..' . <br />. ..., . <br />." .. <br />.... .' .. <br />. . . . . . . <br />.j...,. .,. <br /> <br />SIGNATURE <br /> <br />~ <br /> <br />IJ,~ <br /> <br />, <br /> <br />C~MPANy_B e/-1{ Ctv'.lI7LJc..n DIJ tf)~ CIfA../rML. R . <br />STATE CERT OR REGIST * rEco ':>'7'7 crL <br />CITY PROCESSING * 2(., <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~,4,~ <br /> <br />COMPANY 4c E I~ L e (.. rtu L <br />STATE CERT OR REGIST # <br />CITY PROCESSING # J f' 7 <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br />" <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST * <br />CITY PROCESSING * <br /> <br />****************************************************************** <br /> <br />MECHANI CAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING * <br /> <br />SIGI~ATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING * <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />