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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 Sth Street, Zephyrhil18, B'L 33542 <br />S13-7SP-0020 FAX:S13-7S0-0021 <br /> <br />DATE RECE IVED /-18".05 <br />PLANS REVIEW FEE <br /> <br />OWNER' S NAME5tll~ (Ibfj <br />JOB ADDRESS 37 /pi q <br /> <br />/J/?if-J'Vl ~ <br /> <br />IV F LA../' V D(Lr <br /> <br />PHONE <br /> <br />t.ri] - 7 r Z -I (:)(0 t{ <br /> <br />I)(l, <br /> <br />L-OT 1 ~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION. 2/i,flf 'fli- (2 ( O~. E <br /> <br />PARCEL ID # <br />WORK PROPSED: ~EW CONSTRUCTION <br />OSIGN <br />PROPOSED USE: ~ FAMILY DWELLING <br />o COMMERCIAL <br /> <br />liJ-1(DDITION <br />o MOVE <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICF.l <br />OALTERATION 0 REPAIR ~TALL <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />01 OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br /> <br />~ER <br />A WJ/Vl, , N U,4A- <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />fA!2..pDI2.- r I S ("jlLE/v !ZOb;1A.. , <br />I , <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />S"Wcc, f H 1/'0 <br />! <br />?I& <br /> <br />~LDING <br /> <br />PERMITS REQUESTED <br /> <br />HEIGHT <br /> <br />& (1) s.J ENERGY FORMS.. . <br />FORMS'~(~5, ~ -' 1)lJ1~ <br /> <br />Q3)-t ~,'.> ft L;(( <br />If <br />~ ~I'DI ( <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o W.R.E.C) ~ <br />tb:J <br />~~. <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS &. (2) SETS OF BUILDING PLANS <br />COMMERCIAL: .ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />$ I ~ 7 c?P ~ h <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />o PLUMBING <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 0 NO <br /> <br />.1 <br /> <br />SIGNATURE <br /> <br />R~ Il a~d <br /> <br />......,...!...,:.::.,i.._.;,....... <br /> <br />C~MPANY t}~(-/ CQAJS rlu/(/c/V/J iJr C~/VrRA<.. j::.(. <br />STATE CERT OR REGIST # ~f5Cn~776"L <br />CITY PROCESSING 1 2..<;::> <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING 1 <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br />'. <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />