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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTMENT 5335 Sth STRBBT ZBPHYRHILLS, PL 33540 <br />PhoneIS13-7S0-0020 Pax:S13-7S0-0021 <br />DATB RBCEIVED <br />PLANS REVIEW PBB <br /> <br />OWNER'S <br /> <br />NAME {r~ ~ r~"~ <br />ADDRESS .. . los '7 ( <br /> <br />PHONE CONTACT <br /> <br />JOB SITE <br /> <br />IJe v.. It CJ~ <br /> <br />~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # JL(--~ <br /> <br /> <br />OO( 0 - 0 L' 0 - l Os 0 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSEO: [JNEW CONSTRUCTION <br /> <br />[J ADDITION <br /> <br />[JALTERATION <br /> <br />[J REPAIR <br /> <br />[J INSTALL <br /> <br />[J SIGN <br /> <br />[JMOVE <br /> <br />[J DEMOLI SH <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br /> <br />[JMULTI - FAMILY <br /> <br />[J# OF UNITS <br /> <br />[J MOBILE HOME <br />[J OTHER <br /> <br />[J COMMERCIAL <br /> <br />[J INDUSTRIAL <br /> <br />[J SWIMMING POOL <br /> <br />CJ 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 />[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 />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br /> <br />BUILDBR <br />SIGNATURE UJ.~~ <br /> <br />COMPP,oNY <br />STAT~ CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />L(~ <br /> <br />****************************************************************** <br /> <br />BLECTRICIAN <br /> <br />uA~ .P~ <br /> <br />COMPANY I::J <:.. e.- <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />/67 <br />. <br /> <br />SIGNATURE <br /> <br />PLUMBBR <br /> <br />............................................~..~;;............ <br /> <br /> <br />. COMPANY J]~ <br /> <br />... A n.... ~.' ~ /1171) STATE CERT OR REGIST # <br />~~ CITY PROCESSING # ~ <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />w~/- <br /> <br />****************************************************************** <br />COMPANY ,4<::..-<-- <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br /># <br />'-/5 <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />