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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTMENT 5335 8th STRBET ZEPHYRHILLS, FL 33540 <br />Phone:813-780-0020 Fax:813-780-0021 __ <br />DATE RECEIVED 6- - tz.:J ... 0 , <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME <br /> <br />-7- <br />/ <br /> <br />/' <br />l f.r:::' ',':> <br /> <br />//}/// r <br /> <br />yl?, <br /> <br />JOB SITE ADDRESS <br /> <br />-z, JL( J-'? <br /> <br />-- <br /> <br />/tf/; <br /> <br />PHONE CONTAC(f/}) .:lYl-/trJ 7 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />OSIGN <br /> <br />o ADDITIO~ <br />o MOVE <br /> <br />TERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br /> <br />OMULTI - FAMILY <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />CJ RESTAURANT <br /> <br />{hy; (? <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />OvT <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />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 />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E,C. <br /> <br />o PLUMBING <br />~HANICAL <br /> <br />$ <br /> <br />11)>(/ <br />/ <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />........................*.****.**.***..***.**.****.*..**..*.****.* <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />..*********..***.***.**********..****...*.***..****~************** <br />to .-. <br /> <br />PLUHBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />KBCHANICAL <br /> <br />*..***.**.***~""""""""""'~~:;;'()'~j~~';;~~~'~~~t= <br />/-. ..?-- STATE CBRT OR RBGIST # __ _ _'- Lt 7 ;; / <br />I' /, / / CITY PROCESSING # ;J "7 ! <br /> <br /> <br />************.***************.**.*************.********.***** <br /> <br />SIGNATURE <br /> <br /> <br />OTHBR <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />************.**************************************************** <br />