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<br />CITY <br />BUILDING <br /> <br />OF'ZEPHYRHILLS PERMIT APPLICATION <br />DEPARTMENT 5335 8~ STREET ZEPHYRHILLS, FL 33540 <br />Phone:813-780-0020 Fax:813-780-0021 <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />(o.\\~d <br />(" (<oft '0 I <br /> <br />OWNER'S NAME ~ N AVlGE ~ <br /> <br />JOB SITE ADDRESS d,W,....; ~ <br /> <br />PHONE CONTACT <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # 0/2 - ;J0 - ~ / -~.LJ I() -tYJItl) -OtJ/ () (OBTAIN <br />WORK PROPSED: DNEW CONSTRUCTION 0 ADDITION P(ALTERATION <br />DSIGN 0 MOVE 0 DEMOLISH <br /> <br />FROM PROPERTY TAX NOTICE) <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />XCOMMERCIAL <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />~CRIPTION OF WORK~ t(\~ DOC~(K,,5. ~~'ce:.. <br />SQUARE FOOTAGE 9-..20 '1--u ;c <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o OTHER <br /> <br />HEIGHT ~i1 t;' k sl- <br />V <br />ENERGY FORMS. <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET <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 />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br />\ <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />l'Y PROCESSING # I '-{bO <br />o It.... <br />******************************** <br /> <br />" <br />,. /* * * * * * * * * * * * * * * * * * * * * * * * * * * * * <br /> <br />PL~~ /tf <br />I / . <br />S IGNWrURE <br />'********** <br /> <br /> <br />SIGNATURE <br /> <br /> <br />#. {!ArO~Io~ <br />1C>b~ <br /> <br /> <br />* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ~ ..0* "-.* * <br /> <br />,. <br /> <br />*************** * <br />COMPANY C <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />