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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTMENT 5335 Sth ~TRBBT ZBPHYRHILLS, PL 33540 <br />Phone:S13-7S0-0020 Fax:S13-7S0-0021 <br />DATB RBCBlVED <br />PLANS REVIEW FBB <br /> <br />OWNER'S NAME <br /> <br /> <br />CONTACT <br /> <br />JOB SITE ADDRESS <br /> <br />33$l1 D <br /> <br />. '/r-..- <br /> <br />LEGAL DESCRIPTION: LOT(S\Lc\'\,,~~~__ <br />PARCEL ID # . <br /> <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[J ADDITION <br /> <br />[JALTERATION <br /> <br />[J REPAIR <br /> <br />INSTALL <br /> <br />[JSIGN <br />PROPOSED USE: ~GL FAMILY DWELLING <br /> <br />[JMOVE <br /> <br />[J DEMOLISH <br /> <br />[JMULTI-FAMILY <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />o MOBILE HOME <br />[J OTHER <br /> <br />[J COMMERCIAL <br /> <br />[J INDUSTRIAL <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />~ ~ .JrnQ~L {)~/)1~-<!~<""X ~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />[J BUILDING <br />[J jLECTRICAL <br />ri/PLUMBING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />[J W.R.E.C. <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 />BUILDER <br /> <br />COMPi\NY <br />STAT~ CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />BLBCTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />COMPANY Ou rJEX<-. <br /> <br />.Y ~ _____~ STATE CERT OR REGIST # <br />SIGNATURE~ ___~~ CITY PROCESSING # <br /> <br />~**************************************************************** <br /> <br />PLUMBBR <br /> <br />MBCHAN'ICAL <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 />