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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />-U_ c:( 7- IJS <br />DATE RECEIVED L <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME <br /> <br />{; !ZA- /VIP <br />.?(723~ <br /> <br />, /) <br />!-!tIN ? ..J/V / il Itf <br />NEuk~#1A /-1vr <br /> <br />PHONE ~(3 - 7f1 -/ ~& '-( <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />. BLOCK <br /> <br />lo/2{o <br />SUBDIVISION.&,'MIVt? /-ItJ/Z (Z..?/J' /YII-Ifl <br /> <br />PARCEL ID # 'J1/-Z5-Z( -DOIO-tJ~{)D-02/0 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~W CONSTRUCTION <br />o SIGN <br />PROPOSED USE: ~ FAMILY DWELLING <br />DCOMMERCIAL <br /> <br />01U)DITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />Q--1'NS TAL L <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 /> <br />~ER <br />;:J l-JfVll yV J ,IYt <br /> <br />DESCRIPTION OF WORK <br /> <br />D .J~EST AURANT <br /> <br />tr <br />I (J 'i .<; /.f[F, <br />I / <br /> <br />& HEA~PARTMENT APPROVAL <br />/ l..{ 'f. 0 c;4;qJO!l f <br />'lOG <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 />~LDIl~G <br /> <br />$ Lr; 725. '710 <br /> <br />PERMITS REQUESTED <br /> <br />165 ".:>'<:;> f2fDG <br />/7 )-,.P f.t[.C. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />u:r-EI_ECT R I CAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />- . f-I6c <br />OW. R . E . C. WI IZC S <br /> <br />. 0 PLUMBING <br /> <br />o ~1SCHANICAL <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 />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 <br /> <br />o NO <br /> <br />BUILDER <br /> <br />....-... <br /> <br />COMPANY ff/ C 0/1/57 <br /> <br />17 j] 1 IJ /J STATE CERT OR REGIST <br />(~ ,~ CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br /> <br />,&v7l?/k- ;::.t-. <br />2- <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />~ iJ. <br /> <br />CUUJ <br /> <br />COMPANY A:i::: t:LC L- T7Ztc <br />STATE CERT OR REGIST # <br />CITY PROCESSING # 1J>7 <br /> <br />****************************************************************** <br />" <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />********************************************************-k******** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />