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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTMENT 5335 Sth STRBBT ZBPHYRRILLS, PL 33540 <br />PhonsIS13-7S0-0020 Pax:S13-780-0021 l- <br />DATB RBCBIVED - ;2 /f'- () / <br />PLANS REVIEW PRR . , <br /> <br />OWNER I S NAME 6- I'?? /1 d I-it') /' ;' z 0 Ff ''::': <br />JOB SITE ADDRESS 3 7 <S ::) ~ IV (" t--V H () r / l CJk .5 <br /> <br />PHONE CONTACT <br /> <br />LEGAL DESCRIPTION: LOT(S) J/1tJ <br />PARCEL ID # <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br /> <br />[] ADDITION <br /> <br />[]ALTERATION <br /> <br />[]REPAIR <br /> <br />[] INSTALL <br /> <br />[]SIGN <br /> <br />[]MOVE <br /> <br />[] DEMOLISH <br /> <br />PROPOSED USE: []SGL FAMILY DWELLING <br />[] COMMERCIAL <br /> <br />[]MULTI-FAMILY <br /> <br />[]# OF UNITS <br /> <br />[] MOBILE HOME <br /> <br />[] INDUSTRIAL <br /> <br />[] SWIMMING POOL <br /> <br />[] OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <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 />[] BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />[] W.R.E.C. <br /> <br />[] PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[] GAS <br /> <br />o ROOFING <br /> <br />[] SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: [] 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 AREAD YES <br /> <br />o NO <br /> <br /> <br />BUILDBR <br /> <br />SIGNATURE <br /> <br />Way-Ll~ <br /> <br />COMPANY <br />STATEi CERT OR R <br />CITY PROCESSING <br /> <br />'(~ <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />/k- -e.... <br /> <br />BLBCTRICIAN <br /> <br />w~ <br /> <br />SIGNATURE <br /> <br />Jg7 <br />. <br /> <br />PLUMBBR <br /> <br />****************************************************************** <br /> <br /> <br />COMPANY {?~ <br />STATE CERT OR REG 1ST # <br />c.V' ~ ~ CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br />/1- c...-<- <br /> <br />SIGNATURE <br /> <br />oJ~ <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />'IS <br /> <br />***************************************************************** <br /> <br />OTHBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />