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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542 I. <br />813-780-0020 FAX: 813-780-0021 I /) <br />DATE RECEIVED , 5r () <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME &;/ZA/V/} <br />JOB ADDRESS .'3 7 'i I cr <br /> <br />/-!O/111:JIJ jLl/-I-r <br />CI LC /4 l//~ I/n r / ?-O <br /> <br />PHONE .-f-/ '5 - 7cfZ- J 06 <( <br /> <br />SUBDIVISION C~/&4-,NO /-IDa! GO/v /VII-J;/ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br /># "/ J I - 2 c - Z l - 001 0 - (] 2 5-.00 - 0 I J!.o <br />PARCEL 10 2~ ~ _ 0 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: 5}NEw CONSTRUCTION <br />o SIGN <br />PROPOSED USE: ~L FAMILY DWELLING <br />DCOMMERCIAL <br /> <br />Q-15(DDITION <br />o MOVE <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />~STALL <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 />~HER <br />A J-J /f/L { IV J jVT.. <br /> <br />DESCRIPTION OF WORK <br /> <br />o REST~U ,& HEALTH DEPARTMENT AP~R <br />I~ 4 <br />I L r J L( c! 26:'/v' /Zoo /LA I 1 Z- (C > e /) /Z It-'> J.LE v <br />I <br /> <br />SQUARE FOOTAGE ~7 ~ HEIGHT <br /> <br />BUILDING SI ZE <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 />& (1) SET ENERGY fORMS. <br />FORMS. <br /> <br />/6)" ~0 <br /> <br />~UILDING <br /> <br />PERMITS REQUESTED <br />I c:; 7 S- r. 4 I VALUATION OF TOTAL CONSTRUCTION <br /> <br />-~ S-. <br /> <br />~.-~ <br /> <br />$ <br /> <br />[\YELECTRICAL <br />o PLUMBING <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. tv/ill: >/-7/!--// <br /> <br />o ~1F.:CHANICAL <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 AREAD YES 0 NO <br /> <br />...-. <br />... .' . <br />.... . . .. <br /> <br />SIGNATURE <br /> <br />~ <br /> <br />Il, <br /> <br />I <br /> <br />f2~ <br /> <br />C~MPANy_t3>I-f rO/v>TI2v) c: IJ'DIV (;or- C~TM( 'fL. <br />STATE CERT OR REGIST # C {](" 5'"'77 Z- <br />CITY PROCESSING # 7-&' <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~A, <br /> <br />~ <br /> <br />COMPANY /lee ffU::(:T[ll C <br />STATE CERT OR REGIST # <br />CITY PROCESSING # J ?7 <br /> <br />ELECTRICIAN <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 />********************************************************'k******** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />