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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DZPARTMENT 5335 8~ Street, Zephyrhil18, FL 33542 <br />813-78P-0020 VAX:813-780-0021 <br /> <br />DATE RECZ IWD <br />PLANS REVIEW FEE <br /> <br />JOB ADDRESS <br /> <br />C;rzt4JVtJ <br />'37 SoCc <br /> <br />i-/-{l/l ( ?{l/ll fiJI/I <br />, <br /> <br />Lf LL y' 1564 <br /> <br />PHONE <br /> <br />6'"/"5- 7,r2~/cr;0L( <br /> <br />OWNER'S NAME <br /> <br />1- Or I S&' <br />LEGAL DESCRIPTION: LOT (S) BLOCK SUBDIVISIONG,t2AVC lIt'fZ( 2$ /lJ/f(/ <br />PARCEL ID # 34-'2c; -- 2( -00/0- fJZf'flC:;O/5((,(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: otNEw CONSTRUCTION <br />o SIGN <br />PROPOSED USE: ~L FAMILY DWELLING <br />o COMMERCIAL <br /> <br />@1\DDITION <br />o MOVE <br /> <br />oALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />Irl'1NSTALL <br /> <br />OMULTI,-FAMILY <br />o INDUSTRIAL <br /> <br />0, OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />~HER <br />4LLI"t I fv!U ;41.. <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />ROVAL <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />(Z-Z'-{ <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT <br />COMMERCIAL: .ATTACH (3) SETS <br />PROPERTY SURVEY <br /> <br />~ILDING <br />ijYELECTRICAL <br />o PLUMBING <br />o MECHANICAL $ <br /> <br />PERMITS RBQUESTED <br />:;? I J' 72 ' / .5" VALUATION OF TOTAL CONSTRUCTION <br /> <br />PLANS &, (2) SETS OF BUILDING PLANS~. (1) SET ENERGY FORMS. <br />OF BUILDING PLANS & (1) SET ENERGY RMS. 0, . <br />REQUIRED FOR ALL NEW CONSTRUCTION. '2-/~. cO f-xj)(;.. J <br /> <br />"- <br />'35'. u'-' Au2L. <br /> <br />$ <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />o <br /> <br />W. R. E. C. l1vil{2i- SI-Ir:/J <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 />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 />.1 <br /> <br />..:':::.:,..:,:1.:)"., ' <br /> <br />\....-. <br />, .., . , <br />.' " I,: " <br />"C~~~AN~J? {' 1-1 (ON. )7rZJ L r J ~ of CEtvnlJ4'- <br />STATE CERT OR REGIST , ~f/{ 0 ':> 1 '1<fz- <br />,CITY PROCESSING' ~~ <br /> <br />BUILDER <br /> <br />~L. <br /> <br />SIGNATURE <br /> <br />~~l~, ~ <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~ II, <br /> <br />M~ <br /> <br />COMPANY f)C-(~ ~LE (, T(Ll c. <br />STATE CERT OR REGIST # <br />CITY PROCESSING * '~'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 />