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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ Street, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME C;~(lA-Nf} !hIe (?oIV fl1 H f <br /> <br />PHONE rfI5-?ffZ-!Oro~ <br /> <br />JOB ADDRESS '517 '] '3 I 0/ LL ,z) v E <br /> <br />1-0 J I r; 7- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION. &;/ZA/JI/ /-/()(l ( cdV' iJ1 HfJ <br /> <br />BLOCK <br /> <br />PARCEL ID # 51( -ZC) -2( -001 D- ozho- 01'72- <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICF.l <br /> <br />WORK PROPSED: ~W CONSTRUCTION <br /> <br />91\DDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />Iff-rNSTALL <br /> <br />o SIGN <br />PROPOSED USE: ~L 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 />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />g.--.. ;4/..Jn lA/v}0. <br />OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HE~PARTMENT APPROVAL ~~ <br />/rl[(j/ ., g ~ <br />I D X / r-:S;-ft:~, I 2 X II.( C-./Zi"EjI./ /Zoo;'Vt" J 7 )t .3 '7 t A <<1D(lT <br /> <br />SQUARE FOOTAGE '75 Z- HEIGHT <br /> <br />BUILDING SIZE <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 />$ /7 37Cf. 1'2- <br /> <br />PERMITS REQUESTED ~ <br />VALUATION OF TOTAL CONSTRU~~ <br /> <br />& (1) SET ENERGY fORMS. <br />FORMS. '~12, '6 <br />J ,&0. -" oLy , <br />1).';;''' )~. <br /> <br />~UILDING <br />~LECTRICAL <br /> <br />? J7-r.} '?, <br />. . <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />OW, R, E, c, wi/2/i ~//-ICJ:? <br /> <br />o PLUMBING <br /> <br />o ~~ECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE or 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 />~ II ~t~ <br /> <br />...-... <br /> <br />C~MPANY n {"(I {. Olu.>rIZU6T; Q/v of t";3'viM<-- t:: t.. . <br />STATE CERT OR REGIST # CI3 (0 5" '71 cP l.- <br />CITY PROCESSING # 2~ <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />~ 4~ @f~ <br /> <br />COMPANY JJL../~ k:LC c T/Zt c <br />, <br />STATE CERT OR REGIST # <br />CITY PROCESSING it / ?7 <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br />" <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST it <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST it <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST it <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />