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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ Street, Zephyrhill., FL 33542 <br />813-78P-0020 FAX: 813-780-0021 / /9;; u <br />DATE RECEIVID ~ I ; f n 7 <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME r;I2A/LI~ /-hlZf zcrll m 11f? <br />JOB ADDRESS .'5 7lf.0"3 C;I ~c. A v E. t- 0 r ('1'7 <br /> <br />PHONE If-/3- '7,r2-/ClC, l( <br /> <br />SUBDIVISION i"PPtft..o lilY/. fct/u' ;411-// <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID It )4-2~~ZI- OOiO -OZrOO-D(77 (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPSED: B'NEW CONSTRUCTION ~DITION DALTERATION 0 REPAIR [3'1NSTALL <br /> <br />o SIGN <br />PROPOSED USE: ~GL FAMILY DWELLING <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br /> <br />0* OF UNITS <br /> <br />o MOBILE HOME <br /> <br />o COMMERCIAL <br /> <br />BOTHER <br />AJ-i.-!fVt I j/J.4I\- <br />c:J R~RANT & HEALT~~ARTMENT APPROVAL ~ <br /> <br />'Z )< I L Spc//, /2..)( 7~ C (ZEE/V /ZiJOff'l I ~CX? z.. ~AfZfc:Jjl.r <br />.. r <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />J>t.fJ" <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT <br />COMMERCIAL: .ATTACH (3) SETS <br />PROPERTY SURVEY <br /> <br />PLANS &. (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />REQUIRED FOR ALL NEW CONSTRUCTION Nf~ L .~\)j,Lkfl <br /> <br /> <br />PERMITS REQUESTED / '3'7, 50 I,Lij b. <br />I r> / r I / r ~ '. '2 ~ - \:)~.. IZ L.\2..L <br />$ 0 ~? r' .., I VALUATION OF TOTAL CONSTRUCTION 7 <br /> <br />~UILDING <br />~ECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />OW. R , E , c. &JI (ze si-lf-i) <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION t7 <br />o OTHER #-. ~3C; <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 AREAD YES 0 NO <br /> <br />BUILDER <br />SIGNATURE ~ <br /> <br />'...'....:-, <br />, ) " !. t ,.,' " ..~ ,: "I . . ". ,... .,,,.,. .'... <br /> <br />"C~~~A~~J? rl-f C' OIi/51/JCr;,tr! fjf Cc;VT~t.. <br />.' S~ATECERT OR REGIST * Cp,cb r:;r;'7 ~z- <br />CITY PROCESSING i -;2..f:t, <br /> <br />.I <br /> <br />PL, <br /> <br />;J.~ <br /> <br />****......*.......*........*................*..*...**.*..********* <br /> <br />ELECTRICIAN <br /> <br />~ 11'. ~:'~~ <br /> <br />COMPANY Hc.r! E ~If C' r/2 {L <br />STATE CERT OR REGIST It <br />CITY PROCESSING It I R-'7 <br /> <br />.SIGNA'I:URE <br /> <br />************~********************************************.******** <br />'-. <br /> <br />COMPANY <br />STATE CERT OR REGIST i <br />CITY PROCESSING * <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY 'PROCESSING i <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 />