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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ Street, Zephyrhil18, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />Q~;/CY <br />DATE RECE IVED 'J 1. , <br />PLANS REVIEW FEE ( <br /> <br />OWNER'S NAME c;(M/VrJ <br />JOB ADDRESS 37 t./ '-I 2- <br /> <br />HOl2 (ctJ/J /)1 Iff? <br />if L-L Y ()t,1 1-0 T <br /> <br />PHONE <br /> <br />R/3 -7F?-1 [)(" <f <br /> <br />15'1 <br /> <br />SUBDIVISION.c:e:~/VP I-Iorzlco/v IJ1Hfl <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL I D # 'J ~ - 2 ~ - 2 ( - 00 (O - 0 2rtP() - f) I ~7 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTTCF,) <br /> <br />WORK PROPSED: ~W CONSTRUCTION <br /> <br />o SIGN <br />PROPOSED USE: ~L FAMILY DWELLING <br /> <br />@1\DDITION <br />o MOVE <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />[!3-1NSTALL <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br /> <br />o COMMERCIAL 0 INDUSTRIAL 0 SWIMMING POOL ~HER <br />;::; W /Yl ( /1./ J #1... <br />CJ ~{lRANT & HEALTH DEPA~NT APPROVAL "'f7J~ <br />u..:LYl. ~ ..c~ <br />DESCRIPTION OF WORK 12 X I? SClzeF/lI !ZJ,Ut/l. I cPx r S//E):?, /2)( 2.-"7 [" A-12/o/l...1 <br />, I <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />C:;SZ- <br /> <br />HEIGHT <br /> <br />RESI DENTIAL: <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 / to c; ~ ~ ~~. fJ-P~ <br /> <br />~ s' . (, ~ ti-u.;~ <br /> <br />~UILDING <br />~LECTRICAL <br /> <br />$ <br /> <br />I c:; /4 j?, 7tf <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />OW. R. E . ~~..v.,;UlE .5(-fr1' <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />...-.. <br />.. . .' '.. <br /> <br />SIGNATURE <br /> <br />~ /J, CU~ <br /> <br />C~MPANY g f/l (v/VSiflJC(1 J/v OF. CVL.JT/ZA<.... Ff... . <br />STATE CERT OR REGIST # cRco57f1?z... <br />CITY PROCESSING # ?~ <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~ j). <br /> <br />a jJ;-d! <br /> <br />COMPANY AcE !::f-..t! Co- f"/l- { L <br />STATE CERT OR REGIST # <br />CITY PROCESSING # (~(7 <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 />ME CH1>.NI CAL <br /> <br />COMPANY <br />STATE CERT OR REGIST #_ <br />CITY PROCESSING # <br /> <br />SIGl~ATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY P~OCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />