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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 813-788-6611 FAX: 813-788-1516 <br />DATE RECEIVED <br />PLANS REVIEW !'BE <br /> <br />OWNER'S NAME ft1ik <0 _ ~re r/q,l{d-l::: <br />JOB ADDRESS 3'f'J~ F~f',~ch r 1-11 <br /> <br />PHONE /-7/!1-7'y-'Jf7J <br />~22D <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL 10 # ;2.. tj-;;.t, -::;.' - P05't::J -t) ,,~CC>.. Z. z.l) (OR'T'ATN FROM PROPF.R'T'Y 'T'AX NO'T'H~F.) <br /> <br />WORK PROPSED: ~ CONSTRUCTION D ADDITION DALTERATION D REPAIR D INSTALL <br /> <br />D SIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />DMOVE <br /> <br />D DEMOLISH <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />DOTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c;YffJ <br />9',j( /L' <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />5 (fed, <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />O;()' <br /> <br />HEIGHT <br /> <br />~( <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 />D BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL <br />D PLUMBING <br />D MECHANICAL <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />I S PROJECT IN FLOOD ZONE AREA DYES <br /> <br />D NO <br /> <br />SIGNATURE <br /> <br /> <br />CQ~"~'i$'~~.~Q~ <br />~ji~~ <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST #_ <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />********************************************************j.******** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />