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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ Street, Zephyrhills, FL 33542 <br />813-78P-0020 FAX:813-780-0021 <br /> <br />JOB ADDRESS <br /> <br />5i'Y ~ <br />~r;J;E-> . (Vl /-} (/ <br />3 9 '3 if ~ 10 -vt..,4 vC- <br />. <br /> <br />Ave <br /> <br />DATE RECEIVED /-Lj - 05 <br />PLANS REVIEW i'EE <br /> <br />OWNER'S NAME <br /> <br />PHONE ?-I] - 7 R Z - I {} (; Y <br /> <br />SUBDIVISION. ~ TffpiJVL /J,.1/--Ir <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />/J.-:2I,-;;/-c/);2I3-ootJot.:)-OOVO (OBTAIN FROM PROPERTY TAX NOTICE) <br />~ CONSTRUCTION 0 ADDITION OALTERATION 0 REPAIR ~STALL <br /> <br />WORK PROPSED: <br /> <br />OSIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />OCOMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS 0 MOBILE HOME <br /> <br />o SWIMMING POOL ~R <br />s!--)I/;::ru!: ElJ/lPO C (. <br />P AA/p-ool-::" <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />,{;f-/ (//::/::&1: ~ I)/}/Zc? c r - P H/v !Z 01) r-: <br /> <br />BUILDING SIZE p~ 3t.{ x 2- <br /> <br />SQUARE FOOTAGE 5 Lf L( <br /> <br />HEIGHT <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 />PERMITS REQUESTED <br /> <br />& (1) SET ENERGY FORMS. <br /> <br />FOt <br />(10c"~~ ijLOb. <br /> <br />~ILDING <br /> <br />$ 52--17. tff> <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. ' <br /> <br />o PLUMBING <br />o ME.CHANICAL <br /> <br />$ <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 />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />,I <br /> <br />SIGNATURE <br /> <br />HH".',., "H'H.:;',,_,:CH <br /> <br />C~MPANY gc;/-IcO,A./$/.IlJC-TltJ/v ~F cwTM<. ~L <br />r7 /J (j A /J STATE CERT OR REGIST # C(JCo 5"' '77 tf'" 2- <br />~ I.) , ~ CITY PROCESSING * 2~ <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <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 />