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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUI~ING DEPARTMENT 5335 8~ Street, Zephyrhills, FL 33542 <br />813-78P-0020 FAX:813~780-0021 <br /> <br />DATE RECEIVED 1-~/) ~oL( <br />PLANS REVIEW Jl'EE ____- <br /> <br />OWNER'S NAME ~f,fAi~ <br />JOB ADDRESS g 7 J D 1 <br /> <br />!-loll ( '20/1} /)1 H/ <br />01 L.l..- AVE LOT I (.,f' <br /> <br />PHONE <f"/J- 7 i" z - / 0 (p tf <br /> <br />SUBDIVISION G/ZA-,vP' I-!DIZ{ ?o;J ;nl!f' <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID #JL/-2t;;~2(-{)O{O-OZttJo- {){b6" <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: urNEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE: or:5GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />G"ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />finNSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br /> <br />~ER <br />,A !.-v'fi1, I ;tILI,vt <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RE~NT & HEALTH <br />/q'L <br />7- C ltt'lV 12iJ 0/1/\. <br /> <br /> <br />r <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />PBRMITS REQUESTED <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS, <br />/80. ~c J3L~. <br />':;7,,- ,::) ~ ti-LiLC. <br />7 >".:.---~ <br /> <br /> <br />W .R;E;" C. tV I f215 >"(-Ictl <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 />~UILDING <br />u;:;vELECTRICAL <br /> <br />$ /7 for. ~s- <br /> <br />VALUATION OF TOTAL CONSTRUCTIO <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o PLUMBING <br />o MECHANICAL $ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />/1 <br />o OTHER , <br />/ i <br /> <br />IN FLOOD Zol~ ARkA 0 <br />/ <br />/ <br /> <br />,leb4 <br />'1~J-. <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT <br /> <br />YES <br /> <br />o NO <br /> <br />BUILDER <br />SIGNATURE ~ III M..~ <br /> <br />p..r.....:.:"_,,,./q.. <br /> <br />C~MPANY B ~H (' OIJ$ rrz-uc.. r /0;./ Or Ct4JT({.Ik. <br />STATE CERT OR REGIST #t':/]c057'1"f'L <br />CITY PROCESSING It ? t.p <br /> <br />.1 <br /> <br />tL. <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />17 ;J I' Ii j)ueJ <br />SIGNATURE --1~ - !lf2Q. <br /> <br />COMPANY A c. r: 13 L-f c. nu L. <br />STATE CERT OR REGIST * <br />CITY PROCESSING * I P'"7 <br /> <br />****************************************************************** <br />...... <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST It <br />CITY PROCESSING * <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST * <br />CITY PROCESSING * <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />.,.... ~ <br />