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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 & b - IDU <br />DATE RECEIVED -(- Sf.-..! I- <br />PLANS REVIEW FEE <br /> <br />JOB ADDRESS <br /> <br />t::IZJ4N 1/ <br />J'7Lf4Cf <br /> <br />/-hll.J?~V /1-111;/ <br />. <br /> <br />0t Lc A Vf2 <br /> <br />PHONE <br /> <br />~/ 3 - 7 r z - /6& if <br /> <br />OWNER'S NAME <br /> <br />L-~( I f'-~ <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION.aA;Vt? /-If,!Zf?ty1,//lJ/J/ <br />PARCEL 10 # .54 - 25 -l- ( - DO 10 - cZtFLt"\D -D/i57"OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPSED: ~ CONSTRUCTION ~TION DALTERATION 0 REPAIR ~TALL <br /> <br />DSIGN <br /> <br />PROPOSED USE: ~FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />Oft OF UNITS <br /> <br />o MOBILE HOME <br /> <br />~- <br />;q l-f../yn'11f1./1/;t~ <br /> <br />t:55b <br />(1-1 3/ CAfZf" /IT <br /> <br />o SWIMMING POOL <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTA~& HEALTH DEPARTM~~PROVAL <br />~- ~~ <br />-12 xlF' Sc (ZI::/i'IV !2ten"\. 'J PI( I). .5"' S;-ffitl , <br />/ I <br />SQUARE FOOTAGE t:f r- L-- <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <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 />~ILDING <br />~ECTRICAL <br /> <br />$ If~ t.f ( , '7 1- <br /> <br />PERMITS REQUESTED <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. .')Q' .:? . <br />/<-67. LJi)(~, <br /> <br />- .;:).~ -,. <br />?), t2l.tz_C. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />OW. R. E. c. ().JI/l[ >fh7:-f' <br /> <br />o PLUMB I NG <br /> <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 />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />.1 <br /> <br />SIGNATURE <br /> <br />~ <br /> <br />JI, ~ <br /> <br />....,-...... <br /> <br />C~MPANY_l3 ~/,f CClo.l5rfZ.JC tlCN I'~ C/!!/l/1T(I4( f::( . <br />STATE CERT OR REGIST It ~ 13(" C' ~-'1 '1 ~L <br />CITY PROCESSING ft ?_&. <br /> <br />... .. '. .. ..... <br />.. .... ,_... "'. ..-. <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~- /1, MreX <br /> <br />COMPANY rfL{::: JJi(_E"LTlU C- <br />STATE CERT OR REGIST # <br />CITY PROCESSING # I~~ <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 />SIGI~ATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />