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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTMENT 5335 8~ STRBBT ZBPHYRHILLS, PL 33540 <br />Phone:813-780-0020 Fax:813-780-0021 <br />DATB RECBIVED <br />PLANS REVIEW PBB <br /> <br />OWNER'S NAME NcJ !i-/I1Nz./-(c:..'t.:;') (I11?F CEAJIFt <br /> <br />JOB SITE ADDRESSj-/ qc 5,,')<'. T j.( 51- <br />15"I(Plr/~ <br />LEGAL DESCRIPTION: LOT (S l BLOCK I G Co _ <br /> <br />PARCEL ID # <br /> <br />PHONE CONTACT l PC' - (.,,? 07 ;< <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />[J ADDITION <br /> <br />I2fALTERATION <br /> <br />[JREPAIR <br /> <br />[J INSTALL <br /> <br />[JSIGN <br /> <br />[J MOVE <br /> <br />[] DEMOLISH <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br /> <br />[]MULTI - FAMILY <br /> <br />[J# OF UNITS <br /> <br />[JMOBILE HOME <br /> <br />L2fCOMMERCIAL <br /> <br />[J INDUSTRIAL <br /> <br />[J SWIMMING POOL <br /> <br />[JOTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK l2&f"lOI../ic <br /> <br />q , J <br />I )L r 0 u'E f41 &rt> <br /> <br />b=f.l-.. 1<f10't> <br /> <br />I ., <br />~PLI"+GC. l-':/ TH 30 STEEL <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2l PLOT PLANS & (2l SETS OF BUILDING PLANS & (ll SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />" <br />[2(BUILDING <br /> <br />$ $(::;0- <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[J ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />[] W.R.E.C. <br /> <br />[J PLUMBING <br /> <br />[J MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES <br /> <br />[J NO <br /> <br /> <br />BUILDBR -=rc: E <br />SIGNATURE4 <br />( <br /> <br />Mol" ('/ 5EAU rCJ fL. <br /> <br />J%wA:-'~ <br /> <br />N~.C. <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />BLBCTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBBR <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 />***************************************************************** <br /> <br />OTHBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />