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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ Street, Zephyrhill., rL 33542 <br />813-78P-0020 FAX: 813-780-0021 f//.:zir77 C/ <br />DATE RECEIVED / ' ~ '/ <br />{ / <br />PLANS REVIEW Ii'EE <br /> <br />JOB ADDRESS <br /> <br />G(ZAtvv <br />314,?h <br /> <br />J-!-o~( 2of/ M HI <br />L/ L-L- Y/ !]Ii A <br /> <br />PHONE <br /> <br />~I ft - '7 f' 2 - / ()G If <br /> <br />OWNER'S NAME <br /> <br />UoI <br /> <br />/ 0 t) <br />SUBDIVISION t;!ZA-)JP /-/0/21 Zo~ /Illf;? <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL 10 # <br /> <br />"]4 - Z ~ - :2 I - (JOt D ~ D 2c?oo ~ 0 I/;(:) <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />OSIGN <br />PROPOSED USE: ~L FAMILY DWELLING <br />o COMMERCIAL <br /> <br />I6'ADDITION <br />o MOVE <br /> <br />OALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />~STALL <br /> <br />WORK PROPSED: ~W CONSTRUCTION <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0* OF UNITS <br /> <br />o MOBILE HOME <br />Q(;;HER <br />/}1- tJ /VI, I jJ /JV1V' <br />J!;ED <br />Z C /Z/V'lr <br /> <br />OSWIMMING POOL <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />& HEALTH ~TMENT APPROVAL <br />/2- ! ~1:1J ,JD,v! <br />720 <br /> <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 />& (1) SET ENERGY FORMS. <br />FORMS. 0 (;.~ <br />I ~O. 'F3u)6. <br />'~ \-. ~ ,-succ. <br /> <br />PERMITS REQUESTED <br /> <br />~BUILDING $ J'15Jb.Lf , VALUATION OF TOTAL CONSTRUCTION <br />c:lYfLECTRICAL AMP SERVICE 0 FLORIDA POWER 0 W. R. E . C. WI (If Sf-lttl <br />o PLUMBING ~/~~---- ) <br />o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION ;f10ltJ- <br />o GAS o ROOFING o SPECIALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />,I <br /> <br />SIGNATURE <br /> <br />.~ 4. <br /> <br />...,L_ij,.q, <br /> <br />. C~M~ANY 15 !-li (DII5r!2tJG!iIJ(J ~c;tN1WlL.F[ <br />STATE CERT OR REGIST * C(5<: o~'7l7oZ- <br />CITY PROCESSING * ~ <br /> <br />BUILDER <br /> <br />~ <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~ 11'- <br /> <br />a;~ <br /> <br />COMPANY Au': FL--Ec rlZJc <br />STATE CERT OR REGIST # <br />CITY PROCESSING # / t).. r; <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br />'-, <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST i <br />CITY PROCESSING * <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST i <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING i <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />