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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 ;7/1 q;fv~ <br />DATE REeE IVED . !-, <br />PLANS REVIEW FEE <br /> <br />. <br /> <br />OWNER'S NAME '\' ~\::'-\\C\\--b' \C'~ \\\\-\'0 PHONED\~:j&3J _\~~ <br />JOB ADDRESS~\~~~ '\'C<\ \ ~'-J~ '~~ 0~ \ <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISIO~0L~~c1 ~~.\~ <br />PARCEL 10 # ~ ~-~\ -\Q)\G ~C):':;)~"'\.~ 9~\ (OBTAIN FRO~ ~R~'P~RT; 'TAX N~;~~r,~ <br />WORK PROPSED: Q1SEW CONSTRUCTION ~ITION OALTERATION [J REPAIR ~TALL <br /> <br />OSIGN <br />PROPOSED USE: ~FAMILY DWELLING <br />o COMMERC IAL <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 t?BIL~ HOME <br />'\Zl\c>>~'~ <br /> <br />~ CJ RESTAURANT & HEAL~TMENT APPROVAL <br />DESCRIPTION OF WORK \ &"\--'-\C:::f.~"'~.1 \ ~ ~ ~~'"'1-\-. . <br />BUILDING SIZE SQUARE FOOTAGE \~ 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 />~YLDrNG <br />~LECTRICAL <br /> <br />PBRMITS REQUESTED <br />$ \~ ~L\ ,'-\'---\ VALUATION OF TOTAL CONSTRUCTION <br />, <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o .W.R.E-=-t;:,. .. \ <br />'-......J\ \ c... ~c::::::..~ <br />-.', <br /> <br />o PLUMBING <br /> <br />o ~1E:CHANICAL <br /> <br />$ <br /> <br />VALUATION <br /> <br /> <br />o OTHER <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 />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA 0 YES 0 NO <br /> <br />.1...............JJ.............pL._...................... <br /> <br />BUILDER .. /-0'7 I ~. . C~MPA~Y,t ~ ,~\\-\j;:-., \~ <br />~~\ ~ STATE CERT OR REGIST # ~ ~,~ <br />SIGNATURE-. ~ ~ . ITY PROCESSING # C""'-")\.<:::.... . <br /> <br />. t. ':=-",; '$....... .~;::.................................:.... <br /> <br />ELECTRICIAN ?'J\~ . COMPANY~C== ~\C?~ ~ <br />c_-"'~:?:.~' ..... ~ STATE CERT OR REGIST # <br />SIGNATURE- ~ . ~ ~ CITY PROCESSING # \~ ""'\ <br /> <br />, ....~.~,c,?.................................................... <br /> <br />PLUMBER '//.f ~P~/ COMPANy..... <br /> <br />STATE CERT OR REGIST # <br />SIGNATURE CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />*******************************************************~********* <br />