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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATIC~ <br />I3UILDING. DIlPAR'naN'l' 5335 8tk Street, Zephyrhilla, I'L 313542 , <br />813-78P-0020 FAX: 813..780-0021 ~ -.:;2. ~ 0'( <br />DATZ RECIlIVllD . <br />PLANS PJ:VIIlW nz <br /> <br />.. <br /> <br />OWNER'S NAME ~f44;J;} I--Il" /L ( Z <-"IV fJ1 J-l? <br />JOB ADDRESS '3 '7 '/Ii' (SILL Avf:: L~ r I'lL( <br />. <br /> <br />PHONE J":I( 3 - '7~ 2 - / ()6 if <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL IO. ) ~ - Z 5 - 2/ - (t)01 0 - D2tf"co - /)jql.( <br /> <br />SUBDIVISION 6??;)vf} /-I~R( 7<-,1/'/ m/.J/ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE \ <br /> <br />WORK PROPSED: ~W CONSTRUCTION <br />OSIGN <br />PROPOSED USE: ~L FAMILY DWELLING <br />o COMMERCIAL <br /> <br />~DDITION <br />o MOVE <br /> <br />OALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />!kHNSTALL <br /> <br />,,;'. <br /> <br />. OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />O. OF UNITS <br />.0 SWIMMING POOL <br /> <br />o MOBILE HOME <br /> <br />~HER <br />J4J-U/J1/ AA/A/L.- <br /> <br /> <br />NT & HEALTH DEPARTMEN APPROVAL <br />~ <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS '. (2).SE'1'S 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 />~UILDING <br />~LECTRICAL <br /> <br />$ /~-L;I;/. 17 <br /> <br />PERMITS. REQUESTED <br /> <br />I' ' .' ~ ' ~' .' 'I . ,'J .' . <br /> <br />/6 -). ~ It ~)) 6, <br />'1 ~. u ~ J2-~J2..L, <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W . R . E . C. Lv / flE SHE f} <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATIONOFMECHANCIAL INSTALLATION <br />, . <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 />~ <br /> <br />'...."......'<...'.';:.::.;.!......-: <br />';;':':"1;;' '::';:'i;iiii::::d.',;' . . Ii:.....,';':'..,. <br /> <br />; l .. ':;'\'C~~~AN~.JJ~I-I CC);V~il2(,1{.n NliOF CE/VT/2/J( <br />0;, SIl'ATECERT OR REGIST t e! Be c ~?'7 6"2- <br />:. .CITY' PROCESSING * ~, <br /> <br />. <br /> <br />.... ,-.. <br />..".. ...-. ,,,',, ,., <br /> <br />BUILDER <br /> <br />FL. <br /> <br />fj,o;i~ <br /> <br />************...**.**.**..**.....*...*....******.........**.******* <br /> <br />.SIGNA~URE <br /> <br />1~ ;4 \ CUH'O <br /> <br />COMPANY ALE f::- L Ec T/2 { ( <br />STATE CERT OR REGIST * <br />CITY PROCESSING ft 1l'"'7 <br /> <br />ELECTRICIAN <br /> <br />*****.******~******.****..*.*******.*.**..***...****..***....**.*. <br />'. <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST * <br />CITY PROCESSING t <br /> <br />SIGNATURE <br /> <br />***.***..*.*....*.**.**...**...***.*.*....*..*..*...***.*.******** <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST * <br />CITY 'PROCESSING i <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 />