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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ Street, Zephyrhilla, FL 33542 <br />813-780-0020 FAX: 813-780-0021 I II I <br />. DATE RECI: IVZD If ( 2 Sf 6 (, ' <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME ~t2J1/~!t7 <br />JOB ADDRESS),? 50 , <br /> <br />jJtlZ (7C1./ /11/}jJ <br />, <br /> <br />GJLC ,4Vc l-~I <br /> <br />PHONE <br /> <br />/nr <br />SUBDIVISION ~~ IID/I.( 7t'/ m;J;? <br /> <br />RI3 - 7~2- I06t.( <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # '?i.f -2.5 - 2( - DC' I 0 - OUO<:,,'-D Ii-~ (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~ CONSTRUCTION <br />OSIGN <br />PROPOSED USE: ~ FAMILY DWELLING <br />OCOMMERCIAL <br /> <br />~TION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />~TALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br /> <br />HOME <br /> <br />o <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />HEALTH DEPARTMENT <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />~y~. <br />.!;32 <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 />~LDING <br />~CTRICAL <br /> <br />PERMITS REQUESTED <br />$ / ~ D{ll I rz VALUATION OF <br /> <br />& (1) SET ENERGY rORMS. <br />FORMS. , .;)~. <br />I b --; f)li) () . <br />~f{C. <br /> <br />AMP SERVICE <br /> <br />o FLORIDA PO <br /> <br /> <br />. 0//2,-:= [; HELl <br /> <br />o PLUMBING <br />o MECHANICAL $ <br /> <br />TYPE or CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />/J /1 ) <br />j,!J (p ///" <br /> <br />. ./ / <br /> <br />/ ~/~/ <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 />FINISHED FLOOR ELEVATIONS <br /> <br />I S PROJECT IN FLOOD ZONE AREA 0 YES 0 NO <br /> <br />,I <br /> <br />SIGNATURE <br /> <br />~ ;4. <br /> <br />'".-..' <br /> <br />C~MPANY f?<i/!Ct);(J'f T/2(/CT7~/v /J;:: C/;X.f7I2/K A l <br />aJ. IJ _ f) STATE CERT OR REGIST # ('0 eO S-?? F~ <br />~ CITY PROCESSING # 2.(., <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />~ <br /> <br />jJ, <br /> <br />Q~~ <br /> <br />< <br /> <br />COMPANY 4..;;- ,E [p- C, TlZ ( C <br />STATE CERT OR REGIST # <br />CITY PROCESSING * Ir7 <br /> <br />SIGNATURE <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 />