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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DIPAR~NT 5335 8~ Street, Zephyrhill., FL 33542 <br />813-78P-0020 FAX:813-780-0021 <br /> <br />DATE RECE IVED IO"~", 0;/ <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME a'ZANtJ Ho f2{ Z O/V' <br />JOB ADDRESS 3'7Grcf NFL/Ko,VL <br /> <br />1)1 HP <br />4VE <br /> <br />PHONE cfl/5-7d"2-/ ora c( <br /> <br />'-or <br /> <br />/1 <br /> <br />SUBDIVISION CRlflvtJ /-/(yu 2'0/11 m Hi/ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # "3 ~ - 2 l5 - 2/- DOt 0 - D 2cf"OD- DtJ( ? <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~W CONSTRUCTION <br />OSIGN <br />PROPOSED USE: Uhf<;L FAMILY DWELLING <br />o COMMERCIAL <br /> <br />Ik:nill D I TI 0 N <br />o MOVE <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />~STALL <br /> <br />o DEMOLISH <br /> <br />OMULTI - FAMILY <br />o INDUSTRIAL <br /> <br />O. OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br /> <br />~ER <br />If Lt,../ /IA I N'V;'I/t <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: .ATTACH (3) SETS OF BUIL'oING PLANS & (1) SET ENERGY <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PE~TS REQUESTED <br /> <br />I . , ' "".' <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br />/ 57 ,; D i3LJJ <: <br />'").,"'- ;::>~ <br />-/ J - ii-u\: c. <br /> <br />~ILDING <br />urELECTRICAL <br /> <br />$ / 'I Z s&>. I 0 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br /> <br />o PLUMBING <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 />/' <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />./. <br /> <br />SIGNATURE <br /> <br />~~ l-l, <br /> <br />.....::._................... <br />t. t .,'.. ..: " .. .. ',""" ,'. <br /> <br />'''C~~~A~~J?ll-l Co/v? rTZ-JG T(QAJ OF Ce-NT/?AL r( . <br />/; I) () . STATE CERT OR REGIST * C Be 0 ~f7'7 cf'L <br />~~ CITY PROCESSING # 2~ <br /> <br />. '.."..,.... <br />.. ,----..., <br />. , , . . . . . .., . <br />. ,. """-'." "', .. <br />" .. .. ~. ; : , . ; ; :: .. . : .'. : j ; 1 . . I . >; . <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~jl <br /> <br />M~f? <br /> <br />COMPANY ~ F Lff (. TlZ ( <- <br />STATE CERT OR REGIST # <br />CITY PROCESSING * 1~1 <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br />'-. <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST i <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 />