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<br />CITY OF ZEPHYRHILLS PERMIT APPLICA~rION <br />BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, :rL 33542 <br />813-78P-0020 FAX:813-780-0021 <br /> <br />DAU RECE IVED 8-::z D ,- 0 'I <br />PLANS REVIEW FEE ,_ <br /> <br />OWNER'S NAME &/zIt/vO /JO(2i '?O/J jiYl/fP <br />JOB ADDRESS "37 430 C ( ~L f4 1./ ELf) r / q 2-- <br /> <br />PHONI~ S-I J - 16- 2 - / DG r <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # <br /> <br />"5'1- 2S - 2 (- 00/ D- 02roO -- D(9 z- <br /> <br />SUBDIVISION, ~;2,4/V'~ /-ItJ/Z( 26/0./ /J'/I-/I <br /> <br />BLOCK <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICF,) <br /> <br />WORK PROPSED: ~ CONSTRUCTION <br />o SIGN <br /> <br />PROPOSED USE: ~ FAMILY DWELLING <br />OCOMMERCIAL <br /> <br />C!n\DDITION <br /> <br />oALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />G:J-rriTSTALL <br /> <br />o MOVE <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />Of OF UNITS <br />D SWIMMING POOL <br /> <br />o MOBILE HOME <br /> <br />~ER <br />/!W1l/11 NUj1/L <br /> <br />C!Si? <br />,.s- .s- CIlE;:'w /2 () c J'V'l <br /> <br />@ <br />I LX: 45 CAfLP OIL, ( <br />DESCRIPTION OF WORK <br /> <br /> <br />& HE~ DEPARTMENT APPROVAL <br />U b J-/ <br />I z;ffr:? C J vtlllEP PAllo J Z <br /><1 cf tf <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS &, (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMSj, Lf/.\.. ..,.~) ;1' 1 ,,(,_ <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. 3~. ,~~~ _ <br /> <br />'~..;, .=00 ti-U:;..X. <br /> <br />~ILDING <br />~CTRICAL <br /> <br />$ /f"/C(DI. 52- <br /> <br />PERMITS REQUESTED <br /> <br />, <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W. R. E . c. Vi t2L 511/:0 <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 />D FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />I S PROJECT IN FLOOD ZONE AREA 0 YES 0 NO <br /> <br />.1 <br /> <br />SIGNATURE <br /> <br />~ <br /> <br />....-'.' <br />.... '. <br />... , ... .. <br />:',:',.:,; )::::: <br /> <br /> <br />.: 'C~MPAN~ t5 ,;h PI" 5/&.(/<[1 tYJ d~ ~~ <br />STATE CERT OR REGIST #Cl3co_~11( CZ- <br />CITY PROCESSING # ~ <br /> <br />BUILDER <br /> <br />pt... <br /> <br />A-C0UJ <br /> <br />. <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~ <br /> <br />4, <br /> <br />~ <br /> <br />COMPANY ,4c r:. EL-E L T/l..{ c <br />STATE CERT OR REGIST # <br />CITY PROCESSING # ((P'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 />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*********************,******************************************** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY P~OCESSING # <br /> <br />***************************************************************** <br />