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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th Street, Zephyrhillst FL 33542 <br />-e(;ff- (/ ('] / r ;> II 813-780-0020 FAX: 813-780-9021 DATE RECEIVED <br />- ?/3-- ) / r ~ '1/.) J ..-J PLANS REVIEW FEE <br /> <br />OWNER'S NAME Ii') ';1/ J- (t:t/ Ie, "'"'"' <br />JOB ADDRESS ]f' '19 L Ctu. tJ / rJi?;, 8/ vJ 2- I/y/f \ <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL 10 # )<( -J b- .2 / ~O() \0 00(2)0 ~D3q 0 <br /> <br />'{. I?:> I Dw <br />I <br /> <br />PHONE 7 /C7 - C71 )-tf <br /> <br />UJ9 <br /> <br />SUBDIVISION-.!J1u. ~.e r-hi' ~ Ie ( <br />J - <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: o NEW CONSTRUCTI ON o ADDITION DALTERATION o FlEPAIR [(INSTALL <br /> o SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS ,J;t MOBILE HOME <br /> DCOMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />D <br />fJc. / (c <br />1.2 'X '-/ I <br />, . <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />/JIIJ(.l( S-cl ViP <br />F <br />SQUARE FOOTAGE ~~t\ <br />- <br /> <br />? I t i/ <br />HEIGHT J.> <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 />~LDING <br />~LECTRICAL <br />~LUMBING <br />~HANICAL <br /> <br />$ <br /> <br />/ SJ .J <br />, <br /> <br />JOf) <br />". <br /> <br />PERMITS REQUESTED <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br />5 - ~.UO_ <br />t::" - 35. au <br />'p - q6.~ <br />(Y'\ - Lto. 0 <br />-1'15. c...."'O <br />VALUATION OF TOTAL CONSTRUCTION - xfy. ~ ~ <br />~O&~~. <br />Ow. R. E. C. ())\.u). lIlc;;D I <br />&'" 11-4J- <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />AMP SERVICE <br /> <br />$ <br /> <br />J 9 40 <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK 0 FRAME <br />FINISHED FLOOR ELEVATIONS ? ;) If lfp/re>J<-. <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />wlc,. <br />we.. <br />~o.6D - <br /> <br />ct-- <br />.(Jl/ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />IS PRO,JECT IN FLOOD ZONE AREAD YES <br /> <br />J:(NO <br /> <br />~ <br />BUILD~R >h':fJ~ f / ~~~~~N~ERIf~~~r I T /I""" "'So" y @ <br />SIGNATURE ~ {4~ CITY PROCESSING # <br />" --H-::HHHH"~' HHH 'H'HH' .HH.H....H........H..H..:; :~~ <br /> <br />ELECTRICIA COMPANY Ci-- C (5 ~:'L' ~ ~ <br />{J n STATE CERT OR REGIST # G;;C / Sc'} c 7 cPb $ · <br />SIGNATURE_____. ~ --__ CITY PROCESSING # <br /> <br /> <br />********************************************************.********* <br /> <br />PLUMBER <br /> <br />s~~"o:tJ:.: <br />yk -- ? ~"j <br /> <br />COMPANY (.<.1 1'1- /Z{/ <br />STATE CERT OR REGIST # ..L ~,,;::,()~~y <br />CITY PROCESSING # <br /> <br />~~ <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />********************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE _ <br /> <br />********************************************************~******** <br />