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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ Street, Zephyrhil18, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />s~//!- C?/ <br />DATE RECEIVED ,l_ <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME CfZA-tv1/ /-lolL! CtJ/J <br />JOB ADDRESS 3 '7562 &t u.. A V f' <br /> <br />M /-+/ <br />. <br /> <br />PHONE <:?1'3'- 7~z- ICJt.'f <br /> <br />1., OT <br /> <br />jrd <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # '3 If - 25 _2 ( -DOl 0 ~ 0 zef<oo - 0 / JZ'J' <br /> <br />SUBDIVISION.~R If;vp J-ItJ(2( C<4V /flfJfl <br /> <br />(OBTAIN FROM PROPF.RTY TAX NOTTCE) <br /> <br />WORK PROPSED: GJNEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE: ~L FAMILY DWELLING <br />o COMMERCIAL <br /> <br />[I}1ill D I TI 0 N <br />o MOVE <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />GrrNSTALL <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 /> <br />~HER <br />A L u'/YI/ .,v'Vlo1A <br /> <br /> <br />X ~RE(:).j <br /> <br />/I/\. <br /> <br />CJ~.$TAURANT <br />~ <br />DESCRIPTION OF WORK ~X Il ~ Ii <br /> <br /> <br />DEPARTMENT <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS &. (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~UILDING <br />~ECTRICAL <br /> <br />$ /1579,? J <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br /> <br />fORMS <br /> <br />PERMITS REQUESTED <br /> <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C, LJ/&E [;fJfiJ <br /> <br />o PLUMBING <br /> <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 />IS PROJECT IN fLOOD ZONE AREAO YES 0 NO <br /> <br />I <br /> <br />SIGNATURE <br /> <br />~,fl. <br /> <br />O.:dkP <br /> <br />...-... <br /> <br />C~MPANY 75 ~ (-I Colv'srlZvc r//}{V hI- (fiiftlA<.. Fe <br />STATE CERT OR REGIST # C8c 0 r.::;t77cr-z.- <br />CITY PROCESSING * 20 <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />SIGNA~URE <br /> <br />~ /~, UQ <br /> <br />COMPANY 4c.c L-:. Lee ((ue <br />STATE CERT OR REGIST # <br />CITY PROCESSING # I R 7 <br /> <br />. <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 />MECHANICAL <br /> <br />****************************************************************** <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 />