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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542 / <br />813-780-0020 FAX: 813-780-0021 0-/1 C! (/ <br />DATE RECEIVED OJ '1 <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME {;flIA-/I!r} 1-Io!Zl Zo;V <br />JOB ADDRESS )7431 01 Lz A I./E <br /> <br />(}1 If fl <br />{tf/I <br /> <br />PHONE cP'/3- 7 ~ Z -I D& If <br /> <br />Icr2- <br /> <br />SUBDIVISION ~t7 /-!oflfzeyr./ mill' <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />jl/ - 25 - Z( - OD{O- Dzf'oO-DI?z... iOBTAIN FROM PROPERTY TAX NOTTCEl <br /> <br />WORK PROPSED: ~W CONSTRUCTION <br /> <br />B"ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />~STALL <br /> <br />o SIGN <br />PROPOSED USE: ~ 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 /> <br />o MOBILE HOME <br /> <br />o SWIMMING POOL <br /> <br />9-OTHER <br />riLUfl/l/ /1/(/ /Vl <br /> <br />~I <br />I Z '5 2- C4f?/lO/lF <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ RESTAURANT <br />(JZ~ <br />/0 x /7_ s/I-6:? <br />/ <br /> <br />& HEAL~ARTMENT APPROVAL <br />I Z. x W 5c /213/~)J Pt!//J/Vl.. , <br />I <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />'7 utJ <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 />/72/;~f9-jJb <br />Is-. v~ /LC((. <br /> <br />~UI LDING <br />GYtiECTRICAL <br /> <br />$ <br /> <br />16 2ftfo, 2S- <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W. R. E , C, {-vtllE SI-Ir::jJ <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 />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br />SIGNATURE <br /> <br />~ A, (kf~ <br /> <br />"-..,.. <br /> <br />C~MPANY f?{(-f(ON~r/LV,--r7f)/J IJF CE/vrrcllL pL ( <br />STATE CERT OR REGIST # C{?CO ~7'7r2. <br />CITY PROCESSING # ~ <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~ It, 0d3.d! <br /> <br />COMPANY {}Lot:: ;; L-r G-TfLtL <br />STATE CERT OR REGIST # <br />CITY PROCESSING # /~~ <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 P~OCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />