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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ Street, Zephyrhil18, FL 33542 <br />813-78P-0020 FAX:813~780-0021 <br /> <br />DATE RECEIVED f/ - /5. C,/ <br />PLANS REVIEW i'EE <br /> <br />OWNER'S NAME C/l/4;VtJ /-I~/l( 20;1 <br />JOB ADDRESS ') 7 r;QO II L l Y 13 f ;4 <br /> <br />;111-1 ;J <br />j]VI! <br />. <br /> <br />PHONE <br /> <br />?( ~ - ? tf 2 <br /> <br />!Dft.( <br /> <br />L-(;'f <br /> <br />/57 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION c:'~/:j lv'/? J-/Nl. ( "2<1# 1i1W <br /> <br />BLOCK <br /> <br />PARCEL ID # 3q -7-5" - 2-1 - 0010- () UtfJ[)... 0/5;7 <br /> <br />(ORTAIN FROM PROPERTY TAX NOTICF,1 <br /> <br />WORK PROPSED: ~W CONSTRUCTION <br />OSIGN <br />PROPOSED USE: ~ FAMILY DWELLING <br />OCOMMERCIAL <br /> <br />urADDITION <br />o MOVE <br /> <br />OALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />wrNSTALL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0* OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br /> <br />DESCRIPTION OF <br /> <br />~ RESTAURANT & HEALTH~TMENT APPROV~) . <br />WORK JOt / ~ .ti~/~/,J, , If X Ir~;v (2~O/L1. Il.{ ~ '52- CAllIb(Zr <br />.! I <br />FL/O <br /> <br />@Q;HER <br />,4/-U/11 ( jl/ f/ ;J/l <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS &. (2) SETS OF BUILDING PLANS <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, <br /> <br />2021 -)c ./ <br />, S-_ u';o" v/ <br /> <br />PERMITS REQUESTED <br /> <br />& (1) SET ENERGY <br />FORMS. <br /> <br />jjlDb <br />bl.f1L- <br /> <br />FORMS, <br /> <br />~UILDING <br />~ECTRICAL <br /> <br />$ 20 ~ r; L/-, J Z <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W, R. E, c, w!gg.5]ff3/? <br />".,..,......-.--~ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATI <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />I S PROJECT IN FLOOD ZONE AREA 0 YES 0 NO <br /> <br />, I <br /> <br />SIGNATURE <br /> <br />~ i-J. ~ <br /> <br />..,'-,;.P' <br />L~:.. _!i;:'. <br /> <br />C~M~ANyg {'/-/ (C'/vS T '.fen ~J N:: CE/VT/!/IL <br />STATE CERT OR REGIST * c/?cC-5"7'7tf"'L. <br />CITY PROCESSING * .~ <br /> <br />BUILDER <br /> <br />j:::'L. <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />R~,- 1-/', ~ <br /> <br />COMPANY f1CI:: tLE (. Till c <br />STATE CERT OR REGIST # <br />CITY PROCESSING # t~1 <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 />