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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMZNT 5335 8~ Street, Zephyrhill., rL 33542 <br />813-78P-0020 FAX:813-780-0021 <br /> <br />DATE RECE IVJ:D <br />PLANS REVIEW nE <br /> <br />OWNER'S NAME (dZIfi/\/tl I--/() (2./ Z{) IV /Yl /It <br />JOB ADDRESS ~1L/'1r Gi L( A \lIE Lo. <br /> <br />PHONE ,rl '3- '71 z - / ()(, r <br /> <br />/q'V <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION.bb1lVt? /-IO(l( Zt;'\/ 1J1j..),t/ <br /> <br />BLOCK <br /> <br />PARCEL ID * "'J~ - ZC; -2 I DOlO - ozrf'cJO'-.:.orqO (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPSED: ~W CONSTRUCTION ~DITION OALTERATION 0 REPAIR Q-!NSTALL <br />oSIGN D MOVE 0 DEMOLISH <br /> <br />" , <br /> <br />PROPOSED USE: ~' FAMILY DWELLING oMULTI-FAMILY 0* OF UNITS 0 MOBILE HOME <br />OCOMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />~HER <br />1'1- h U J1/Z l,vv ;Vl. <br />HE~o.D,EPARTMENT APPROVAL ~D-~" <br />~ ,~ <br />/ L )( I Lf Xjltf~/v (2,,7D/1I1 I J l)< 3 . 'CAfZ{lo/7r <br />, <br /> <br />~7 z. <br /> <br />o SWIMMING POOL <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ R~~,o~NT & <br />J3.;;V <br />/ 2 l )n S f-li-3L.J I <br />I <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <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 />~ILDING <br />~ECTRICAL <br /> <br />$ /5?35./~ <br /> <br />PERMITS REQUESTED <br /> <br />J ',' <br /> <br />j 3 c, L! <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />OW. R. E . c. W / /ZJ~ Sf!I-:-pl <br /> <br />o PLUMBING <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 OTHER <br /> <br />TYPE OF CONSTRUCTION: D 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 />.:".:j;;"J', <br /> <br />"".:n,;;i:';;;U,,_;;,'.',U'U"'U <br /> <br />'''C~~~A~; 51/J (O/V5rtliJC n DN tF C61/r/ZAL <br />STATECERT OR REGIST * cec05'77rz- <br />CITY PROCESSING * ~." <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />~ (J. ateR <br /> <br />FL. <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />~ /I-~ <br /> <br />COMPANY /Ju:::- cUe-.n? tc <br />STATE CERT OR REGIST * <br />CITY PROCESSING * 1~17 <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br />...., <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST * <br />CITY PROCESSING * <br /> <br />SIGNATURE <br /> <br />***********************************************.******************* <br /> <br />MECHANICAL <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 />