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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ Street, Zephyrhill., FL 33542 <br />813-780-0020 FAX: 813-780-0021 DATE RECEIVED g- /~'/c: y <br /> <br />PL1\NS REVIEW FEE <br /> <br />OWNE:R'S NAME: (;fZlfAJtJ Ho/ZtZo/i! iJ1/-ffJ <br />JOB ADDRESS J7t.f2~ 0/LL.- AvE /..-,i)/ <br /> <br />PHONE ~'/ J - 7t" z -I [)(o L( <br /> <br />LE:GAL DE:SCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />Iftl <br /> <br />SUBDIVISION~t? ~,el CIJ/V /J1 Nfl <br /> <br />PARCEL ID # "51./ -25 -' 2( - DDt 0 - DZrOo - O/rf1/ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTTCE) <br /> <br />WORK PROPSED: urNEW CONSTRUCTION <br /> <br />[B'}\DDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />g---fNSTALL <br /> <br />o SIGN <br />PROPOSED USE: ~L FAMILY DWELLING <br />DCOMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J ~~RfNT & HEALTH DEPA~T APPROVAL ~ <br /> <br />12. }C I z:. ,')CIZC-CIJ loo/l/\., ?'f r 5!-1!5p/ I'lK 2'7 {/1/VlJ IL;- <br />/ I <br />SQUARE FOOTAGE S- J l.-- HEIGHT <br /> <br />BUILDING SI ZE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS &, (2) SETS OF BUILDING PLANS & (1) SET ENERGY fORMS, <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />, <br /> <br />/6 ~-. ~.~ <br />,~ <br />-1~' v <br /> <br />~j)G. <br />fi- Ljic . <br /> <br />QY'BUILDING <br />~LECTRICAL <br /> <br />$ /5'JJI, 1'7 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />OW. R. E. c, '^--I /2!~ S /fJ3p <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATIO <br /> <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 AREAD YES 0 NO <br /> <br />"- <br />' , <br />..., . - . <br />d ,..' " ' ',." <br /> <br />SIGNATURE <br /> <br />~4~~ <br /> <br />C~MPANY &11 [alhl/2Uc II l)IJ C/ C6'#!?A<.. P-L , <br />STATE CERT OR REGIST # r:B( 0 S77 if 2- <br />CITY PROCESSING * -:;z.(p <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE ~ /J, ~ <br /> <br />COMPANY fk,E fLEe rlZ({., <br />STATE CERT OR REGIST # <br />CITY PROCESSING # I ~ 7 <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 />