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<br />~~ <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECEIVED f-~-o f <br />PLANS REVIEW FEE <br /> <br />OWNER' S NAME_Ln~ry-L.\~s, ~,.hY'Pf\-\-s -:::t:nC_- <br />JOB ADDRESS 3'15 2- tj? 7JfR~U ({)aP. tJ ~ <br />LEGAL DESCRIPTION: LOT (S) BLOCK USUBDIVISION <br />PARCEL ID # 34-~5",;).I-~-00300-00~D (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />PHONE <br /> <br />50 7~ 7992- <br />'Z2r; &> <br /> <br />WORK PROPSED: lY'NEw CONSTRUCTION <br />OSIGN <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br /> <br />~LTI-FAMILY <br /> <br />0# OF UNITS <br />o SWIM~lING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />OC0l'1MERCIAL <br /> <br />o INDUSTRIAL <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ~\r1 A90--r-\-rvy.(\\- I.An\+"* \ <br />BUILDING SIZE 4\.33 X I~ <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />z., <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCT I <br />~ FLORIDA POWER <br /> <br /> <br />li2f"'BUILDING <br />~LECTRICAL <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />I <br />l\ . JW'^'~g <br /> <br />VALUATION OF MECHANCIAL INSTALLATION~Jrf>l{)r(o" ~)t <br /> <br />o ~./ . A- e.,- ~ 0..0 <br />OTHER LP .1 0 . ~ l (f) O~ <br /> <br />o FRAl-1E 0 STEEL 0 OTHER I C V"". _A ~N" ,,/3/1..0 <br />~ ~\r' ~:/ <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />~ECHANICAL <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: ~LOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />COMPANY S()..rld~ \)eNe~iOpry\c.n-+ (20. <br />STATE CERT OR REGIST # C-~t... 0 \ oC\ z.. '3 <br />CITY PROCESSING # <br /> <br />******************************************* <br /> <br />ELECTRI <br /> <br />1 <br /> <br />cm1 PAN Y t-~~c::> -\- c.... \ a. S S ~ \..Q. L -tn" c... <br />STATE CERT OR REGIST # COO02.570 <br />CITY PROCESSING # <br /> <br />************ <br /> <br />************************************************* <br /> <br />PLUMBER <br /> <br />~ . ~' <br />" '.." <br />COMPANY--~ \c,"\" <... ~~ \r::~ ~ '\. _ <br />STA1', CERT OR REGIST # '-~~\~().:). <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL :t ~ <br />SIGNA'1'URE vU~-<()(J ). . JU<<'Q <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />***************************************************************-k* <br /> <br />OTHER <br /> <br />Cm1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNi\TURE <br /> <br />***************************************************************** <br />