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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 Sth STREET ZEPHYRHILLS, FL 33540 <br />Phone:S13-7S0-0020 Fax:S13-7S0-0021 <br />DATB RBCEIVED <br />PLANS REVIEW PBB <br /> <br />OWNER'S NAME kll1]oOd cJQ,q-rrctc k. <br />JOB SITE ADDRESS 3 g 5" ~ 7 LJ " V1 J ~ I <br /> <br />:11 <br /> <br />owev <br /> <br />PHONE CONTACT 7~:J..- 3 ) G' ~ <br />4ue <br /> <br />SUBDIVISION S I "~{'J /:Jallow <br />FROM PROPERTY TAX NOTICE) <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL 10 # <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[iJ'1CoDI T ION <br /> <br />(OBTAIN <br />( <br />[JALTERATION <br /> <br />[JREPAIR <br /> <br />[J INSTALL <br /> <br />[J SIGN <br />PROPOSED USE: ~ FAMILY DWELLING <br /> <br />[JMOVE <br /> <br />[J DEMOLISH <br /> <br />[JMULTI - FAMILY <br /> <br />[J # OF UNITS <br /> <br />~BILE HOME <br /> <br />[J COMMERCIAL <br /> <br />[J INDUSTRIAL <br /> <br />[J SWIMMING POOL <br /> <br />[J OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ~.x 1- e J1 d + h ~ Q ) l' eQ d 7 g h ect <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 />[J BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[J ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />[J 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 />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES <br /> <br />[J NO <br /> <br /> <br />BUILDBR COMPANY <br />STATE CERT OR REGIST # <br />SIGNATURE CITY PROCESSING # <br /> <br /> <br />*************************** ************************************* <br /> <br />BLBCTRICIAN COMPANY <br />STATE CERT OR REGIST # <br />SIGNATURE CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBBR <br /> <br />COMPANY <br />STATE CERT OR REG 1ST # <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 />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />