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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ Stre.t, Zephyrhill., FL 33542 <br />813-780--0020 FAX:813~780-0021 <br /> <br />. DATE RECE IVED ~ I). ~ jc..Y <br />PLANS REVIEW Ji'EE <br /> <br />OWNER'S NAME G,eA/V,O .I-till ?t;V (J1 H/ <br />JOB ADDRESS "5 7 ~ .5 rJ 6'/ L L II liE" L (' T <br /> <br />~I :> - 70' Z ~ /00 ( <br /> <br />PHONE <br /> <br />/P) <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL 10 # '5 t{ - '2 C; - -71 <br /> <br />BLOCK SUBDIVISION. C;(2AIl/tJ ~fZ(Z61J pJ)#l <br />DO 10 - 0 2.6-00-01 ?3IOBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~ CONSTRUCTION <br />OSIGN <br />PROPOSED USE: ~FAMILY DWELLING <br />OCOMMERCIAL <br /> <br />lQ-1ill 0 I TI 0 N <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />ffi-lNS TAL L <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br /> <br />o SWIMMING POOL <br /> <br />@QTHER <br />f)WtYlllvvlJ/L <br />~ <br />l X ~ C/ ;::~/lr <br /> <br />DESCRIPTION OF WORK <br /> <br />D ~~NT & <br />2. 'f. (L- ,')/..1;:..;; <br /> <br /> <br />~DEPARTMENT APPROVAL <br /> <br />BUILDING SI ZE <br /> <br />SQUARE FOOTAGE <br /> <br />5t IZ;:: F/J [Z,""tJ /1-1.. <br />&12- <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 />FORMS. <br /> <br />) ~.;, 0 ~ J~fi)6 ' <br />35",':>~ J2.u~C" <br /> <br />ld13UILDING <br />5YEL"ECTRICAL <br /> <br />$ 11,521. ~7 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />OW, R, E. C, [vi (2.Jf 51-/;;';/ <br /> <br />o PLUMBING <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 />I S PROJECT IN FLOOD ZONE AREA 0 YES 0 NO <br /> <br />I <br /> <br />. "., .. .. <br />........ .....,....J., <br /> <br />,',-,,," <br /> <br />C;MPANY ~ rl-i {t.-',vrr /ZJG17 OiJ t!'r {/rv'T{llK F ( . <br />STATE CERT OR REGIST # C{J C t" .C;-'7ry r-z.- <br />CITY PROCESSING # ~ <br /> <br />BUILDER <br />SIGNATURE ~ I~, ~ <br />. <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~ IC}~ ~ <br /> <br />COMPANY f} 17 ELF..cTfUc <br />STATE CERT OR REGIST # <br />CITY PROCESSING # Ilfrr <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 />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />