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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 {I / <br />DATERECE IYED I $" f tJ {" <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME C~/lA/Vv /-h ~(Z ~;J <br />JOB ADDRESS '57 Lf I.f J+- L { LL- '( <br /> <br />;1'1 H jJ <br />1?iA L 0 I (~- r <br /> <br />PHONE <f/J-7<f'2--lotL( <br /> <br />SUBDIVISION 0lAtUv l-lo/c/2'olv /111-1;/ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # ?V - 25 - ZI - 00 10 <br />WORK PROPSED: ~W CONSTRUCTION <br /> <br />02-;:--00 - 0 15~ {OBTAIN FROM PROPERTY TAX NOTTer \ <br /> <br />rn--ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />[}}-r1\jSTALL <br /> <br />o SIGN <br />PROPOSED USE: G1SGL FAMILY DWELLING <br />OCOMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br /> <br />~HER <br />AU.V II/\, { Ai v Jl/1.. <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J ~NT & HEALTH DEPARTMEN~VAL <br />r 2;< 1l{~C{(Lrlv' rZ ~OvV'L. r LX'> b CAIClo 12 r <br />, <br /> <br />SQUARE FOOTAGE &010 <br /> <br />f- f" H~;J <br /> <br />BUILDING SIZE <br /> <br />HEIGHT <br /> <br />!:!YBU IL DING <br />~"ECTRICAL <br /> <br />$ 1'1'1> <br /> <br />~, <br /> <br />PERMITS REQUESTED <br />~9 VALUATION OF TOTAL CONSTRUCTION <br /> <br />& (1) SET ENERGY <br />FORMS. 0 <br />/ f> u. :::" <br />~5,'~~~ <br /> <br />FORMS. <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 />/~GJJC: . <br />I <br />~_C. <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. wilLe s-t1t':i/ <br /> <br />o PLUMB I NG <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />1~ IJ- <br />.~\/? <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OT H ER <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 AREA 0 YES 0 NO <br /> <br />SIGNATURE <br /> <br />Tt~ /l r~~ <br /> <br />.-.. <br /> <br />COMPANY 1? ~ 1-1 / j);V~ rll.uc..TI o,A-/ ;;;::- ~(:;/V((l/lL F<. . <br />STATE CERT OR REGIST # C15 (0 ~rJ '7 R-7-. <br />CITY PROCESSING # ~ <br /> <br />I <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~ /~', t21~ <br /> <br />COMPANY ALE EL-Ecl'(Z-l "- <br />STATE CERT OR REGIST # <br />CITY PROCESSING # I ?-7 <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br />" <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />*******************************************************'k********* <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />