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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br /> <br />BUiLDiNG DEPART~NT 5335 8th STREET ZEPHYRHiLLS, FL 33540 <br />Phonez813-780-0020 Faxz813-780-0021 <br />DATE RECBiVBD <br />PLANS REViEW FBB <br /> <br />OWNER'S NAME <br /> <br />~-B <br />3lL\C1 <br /> <br />~~61- <br />r DpL--\u..xi ~. <br /> <br />PHONE <br /> <br />CONTACTC~'~\<()~- 1'110 <br />3 ?:F.::.!:>q <br /> <br />JOB SITE ADDRESS <br /> <br />2.7 rhu (~\ \ \"" \ k <br />\ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[J ADDITION <br /> <br />ALTERATION <br /> <br />[JREPAIR <br /> <br />[J INSTALL <br /> <br />[JSIGN <br /> <br />[J MOVE <br /> <br />[J DEMOLISH <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br /> <br />[J COMMERCIAL <br /> <br />[JMULTI-FAMILY <br />~OUSTRIAL <br /> <br />[J# OF UNITS <br /> <br />[J MOBILE HOME <br />[J OTHER <br /> <br />[J SWIMMING POOL <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />C"\NA<\Q\'L OJ\- \t..l( ~'C- U\"',,\- \.^"\ <br /> <br />SQUARE FOOTAGE <br /> <br />4 --\b.r) "S P \ A- A \C ~\-r~\~\'l'"\ . <br /> <br />BUILDING SIZE <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 />~HANICAL <br /> <br />$ <br /> <br />~ L.. 5() c.EL <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 AREAO YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATECERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />BLBCTRICiAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REG 1ST # <br />CITY PROCESSING # <br /> <br />* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ~ *:-I!'ir * * * * * * * * * * * * * * <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br />COMPANY 3oiX..':<:> \--\Y~i> ~-( ~r C .IMCl. t :r.""L. <br />jj (1" - . <LD 1\\ STATE CERT OR REGIST CA.c...oSlC\00 <br />(~ ~ CITY PROCESSING # \~q <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHBR <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />*******************~********************************************* <br />