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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ Stre.t, Zephyrhill., FL 33542 <br />813-78P-0020 FAX:813-780-0021 <br /> <br />DATE RECE IVIlD ? - ;2D- () f <br />PLANS REVIEW FEE ,...--' <br /> <br />OWNER'S NAME &!Zt4A1iJ 1-Io/2( Zo/J III I-IP <br />JOB ADDRESS 3'7 '-1/ 2- 61 Lc fJ VE La r / 9' ,~ <br /> <br />PHONE "'pI 7- '7Pz- I Dr; ( <br /> <br />SU8DIVISION.&:I24f\O HOfZt co/v' /?1 f/f1 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID i <br /> <br />71./ - 75 - 2- { - 001 0 - Oz?oO - D/95: <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~W CONSTRUCTION <br />OSIGN <br />PROPOSED USE: ~L FAMILY DWELLING <br />OCOMMERCIAL <br /> <br />l8"ADD I TI ON <br />o MOVE <br /> <br />OALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />~TALL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />Olt OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />lB(;;HER <br />A lA../ M ( tV v /2Il. <br /> <br />o <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />& HEALTH DEPARTMENT APPROVAL <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 />13LPC. <br />Ji.Lh-c. <br /> <br />PERMITS REQUESTED <br /> <br />& (1) SET ENERGY <br />FORMS. <br />25'5,~~ <br /> <br />^f5"~ uC> <br /> <br />FORMS, <br /> <br />~UILDING <br />~LECTRICAL <br /> <br />$ '21?t./f. 23 <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION .. <br />o FLORIDA POWER 0 ~;;;;;;;ji71E >1-1': <br />// ,/ / ,! oC--- <br />VALUATION OF MECHANCIAL INSTAiL~ON l~~ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <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 />,-,. ,--. - "' <br />. -. ... <br />. , , . . .. . . <br />. ::; :.:.,;:;:"j-,; <br /> <br />.....'-.. <br /> <br />...., .. ", . C~MPANy_E ..;, COIV$T!'vCl/OIJ r.t: epv17i?A<- <br />/? () _() STATE CERT OR REGIST if"'l3co!;;7f1?2- <br />~ CITY PROCESSING It 2(P <br /> <br />BUILDER <br /> <br />/::::"L. <br /> <br />SIGNATURE <br /> <br />~ /~. <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~ j): <br /> <br />~ <br /> <br />COMPANY Ac..-c E L--r: Drill L <br />STATE CERT OR REGIST # <br />CITY PROCESSING It Jcf 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 i <br />CITY PROCESSING It <br /> <br />SIGNATURE <br /> <br />***************....**.******************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST i <br />CITY P~OCESSING It <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />