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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ Street, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />/'j- ~-O il <br />DATE RECEIVED 1- <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME K E ;J;V( T).I- r ;::' ;VGL/f NtJ <br />JOB ADDRESS 3'74 Lf 0 IV EU/Co~ AVE.- J-- tJ/- 3'-1 <br /> <br />PHONE cr/3-7cf" 2- leNo '( <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # 5~ -2~ -Zl - 00 10 - D'2-<fbO -- 003{ <br /> <br />SUBDIVISION. LdZA;tJO j-}'()/ZI7o/ll mfJIJ <br />(OBTAIN FRO~~~:PERTY TAX N:~ICE) <br /> <br />WORK PROPSED: ~W CONSTRUCTION <br />o SIGN <br /> <br />!;.rADDITION <br />o MOVE <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />@fNSTALL <br /> <br />o DEMOLI SH <br /> <br />PROPOSED USE: UfSGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS 0 MOBILE HOME <br /> <br />o COMMERCIAL 0 INDUSTRIAL 0 SWIMMING POOL ~THER <br />A tom I ;V(j #t- <br />O R~~~RANT & HEALTH D~ENT APPROVAL ~ <br /> <br />DESCRIPTION OF WORK I L( 'II t.f~/:&V (2(}a VIA-. lOx 10 5 rfl!o, ILl X "5 ~ cA{ZfJo /2-r <br />I , <br />BUILDING SIZE SQUARE FOOTAGE 7 F &, HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT <br />ATTACH (3) SETS <br />PROPERTY SURVEY <br /> <br />,FOR <br />" <br /> <br />PLANS &. (2) SETS OF BUILDING PLANS & (1) SF;.-T <br />OF BUILDING PLANS & (1) SET ENERGY FOR~S''- <br />REQUIRED FOR ALL NEW CONSTRUCTION. /' ':( ~ J <br /> <br />. '-1/~ )} Ot!- <br />~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION 277 . _50 ft-.})f:.. <br /> <br />o FLORIDA POWER 0 W.R.E.C. <br />''1')-, 0~ ri.1LC.- <br /> <br /> <br />~ILDING <br /> <br />PERMITS REQUESTED <br />$ '30 sJ 9', q & <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <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 />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 />iL rtW <br /> <br />. <br /> <br />......- <br />. ., .. .. , . <br />.L' . " <br /> <br />C~MPANY r?,;!-I {olV,r/luCT/Q/J o,c CEMlllK <br />STATE CERT OR REGIST # C/3cf)srJrr<pZ-- <br />CITY PROCESSING # ~ <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />I~M( <br /> <br />,c<- , <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <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 />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />