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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 <br /> <br />I --{is -<9,/ <br />DATE RECE IVED !.(, - <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME (;144/\1 tJ /-Ie r2{ leI\! ;11 ;}fJ <br />JOB ADDRESS '?1 .3/3 0/ L L AvE LD I / fc Cj <br /> <br />PHONE PI?, - '7? 2- I ()& r <br /> <br />SUBDIVISION WANt? 1It>R-/~tt/ mfJl~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # .Jlf - 2--5 ~~{ - 0010 - OZ6tX)..... 0/6'1 <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 />lB'1\DDITION <br />o MOVE <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />@4'NSTALL <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br /> <br />0* OF UNITS <br /> <br />o MOBILE HOME <br /> <br />DESCRIPTION OF WORK I <br /> <br /> <br />o INDUSTRIAL OSWIMMING POOL ,.q~7~Vi/;#'\. <br />& HEALTH ~MENT APPROVAL ~ <br />, Lf I {, 'tifiI.:t5 v,),,~ , L '(rf5 LA 'OiZ r <br />PZp <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT <br />COMMERCIAL: ,ATTACH (3) SETS <br />PROPERTY SURVEY <br /> <br />~ILDING <br />~CTRICAL <br /> <br />PERMITS REQUESTED <br />/ F':;- q ~, ?~ VALUATION OF TOTAL CONSTRUCTION <br /> <br />PLANS &, (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, <br />OF BUILDING PLANS & (1) SET ENERGY FORM, S. ~'7 5 D <br />REQUIRED FOR ALL NEW CONSTRUCTION, ~~~I 0 ,- <br />""- <br />'::;''u <br />J)u1l ~ \. <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />o W. R, E.C, lJLJl1c ,S{-!6o <br />" ~.- -~-'" '~ <br />I i <br />VALUATION OF MECHANCIAL INSTALLATION /, 1/1/ , <br />I t-j -,," <br />~ <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />AMP SERVICE <br /> <br />o PLUMBING <br />o MECHANICAL <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 AREAO YES 0 NO <br /> <br />,I <br /> <br />SIGNATURE <br /> <br />"",-' , ,;qq <br />. ...... "..,". . .'" . <br /> <br />C~MPANY e tlf cC1V$'r(4/crtoN tJF C/7/Vtf-t+<.. F( \ <br />17 /1, /7l;;" () STATE CERT OR RE'GIST # (!...EC 0.5" 7 '7 t!' z- <br />~ I::::!: ~ CITY PROCESSING # 2~ <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~ <br /> <br />IJ l ' CU,& <br />, <br /> <br />COMPANY /Ic~ 6Uc 7t-.t ~ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # )1'-'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 />****************************************************************** <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 />