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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ Street, Zephyrhill., FL 33542 ~ <br />813-7,80-0020 FAX: 813-780-0021 <br />DATE RECEIVED if f,/Or <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME ~~~\ \-\.~)-C\~\ \"'\,\:-\V. PHON~:f~~,t~\~ _ \()~'---\ <br />JOB ADDRESS .2>1'--\ \'\ ~\ \ ~~r\?~~,~__,<\ \~~::<~ <br />LEGAL. DESCRIPTION: LOT(S) BLOCK SUBDIVISION\s;,;~\2S.c---\ ~~,'\<::...::::1.\\\\\'\\) <br />PARCEL 10 #')'..:>'--",,:,):::> <)\-C),:)\'')-(~~::X"'")'-0\~K (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPSED: ~EW CONSTRUCTION ~ITION OALTERATION 0 REPAIR 0 INSTALL <br /> <br />OSIGN <br />PROPOSED USE: ~ FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0* OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />~1\'E-)\~\ \~I'\) <br /> <br />DESCRIPTION OF <br /> <br /> <br />RESTAURANT <br /> <br />- -\ <br /> <br />BUILDING SI ZE <br /> <br />HEIGHT <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 />~"" Lt 7 <br />..,)" }-{,\,,, <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />& (1) ~ET ENERGY FORMS. <br />FORMS "'2.J I \"<:l &\..JJG <br /> <br />. <br /> <br /> <br />~- <br />j~?-'~~ <br /> <br />~UILDING <br />~LECTRICAL <br /> <br />PERMITS REQUESTED <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />O '\r-~~~~\ <br />W. R. E , C . '----'---- \ '--- c...J\~-,-. <br /> <br />o PLUMBING <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br /> <br />o ~1ECHANICAL <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 />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE ,Z\REAO YES 0 NO <br /> <br />.I <br /> <br />. .' - . . <br />. . . . . .. , . <br />........ . ..'...., <br /> <br />".'.-................ <br />. "" ,." <br />. .., -. <br />"., " ." <br />... . ". .. <br />. . .. , . . <br />. . : ;.: :~ !; ;: :. . <br /> <br />. C~M~AN~~\-\'L~~~,\.3; ~1' '~~-\\Kl-\-~. <br />STATE CERT OR REGIST #\:.\~-.:5-'::)llt'<)~ <br />CITY PROCESSING * 'i)~~ <br /> <br />BUILDER <br /> <br />13u#u /.J, ~ <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />/~/vfU 1-7. ~ <br /> <br />COMPANY \=\.~ ~ l~ k~'\ '"""L <br />STATE CERT OR REGIST # <br />CITY PROCESSING # \ 'Si <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 />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 PROCESSING # <br /> <br />SIGNATURE <br /> <br />*********************************************************~k******* <br />