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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 /)( OLl <br />DATE RECEIVED 1/-- -- 1 <br />I <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME L;'oQ~ <br />JOB ADDRESS 3 '8 CS L '2.. <br /> <br />~ CD ~ PS<; i (')(\cd <br />c.ouV\~ '"kd <br /> <br />LLC" <br />t54 f <br /> <br />P~ 1 - ~\3-(Olb-~{O~{ <br />z- <br />7.. ~I-u J,JLh d Is ~ C '3 =3 Sl.f Z- <br /> <br />.../ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # O~ -')..l&> . 21 - 6bLPo -0 bOOO - 06 (D <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION o ADDITION r.t<rALTERATION o REPAIR o INSTALL <br /> OSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: OSGL FAt-1ILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> 6ifCOMMERC IAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ~ (~~ " € Y\ ~\I'-<."\ t DCl.l..( ~,~ l' ~ ,'. c\tSJ2- j. ~ <br />BUILDING SIZE SQUARE FOOTAGE HEIGHT <br /> <br />RESIDENTIAL: <br />CQl\lMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o ELECTRICAL <br /> <br />FLORIDA POWER <br /> <br />I2biLT(ULt~'- <br />c~rr\~~ .. <br />~ ~lll.fJ) ~f\- <br />fL)lL:((lI uqL <br />/A l:.'~I.ATi >0 <br />W.R.E.C, ,...n~1 <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />'-I.bOO-DD <br />. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />o <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 <br /> <br />o NO <br /> <br /> <br /> <br />BUILDER f ;;) I CJ <br /> <br />SIGNA'URE'fI/?,L!l A-;; 0.eJ <br /> <br /> <br />**** *************************************** <br /> <br />COMPANy~Q.~\blt> Cn~....YS~Qu.c+I'on <br />STATE CERT OR REGIST # "R- CO bel 6Qctb <br />CITY PROCESSING # <br /> <br />ELECTRICIAN----../'. /. <br />,(1~CJ <br />SIGNATURE <br /> <br /> <br />f Lljl/ <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 />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />********************************************************-k******** <br />