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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTMENT 5335 Sth STRBBT ZBPHYRHILLS, FL 33540 <br />Phone:S13-7S0-0020 Pax:S13-7S0-0021 <br />DATB RBCBIVED <br />PLANS RBVIEW PBB <br /> <br />9.; )o-D I <br /> <br />OWNER'S NAME <br /> <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />JOB SITE ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT{S) <br /> <br />PARCEL ID # <br /> <br />o '3 ~h <br /> <br />:7./ <br /> <br />00/0 03;;"00 <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[JADDITION <br /> <br />on//) (OBTAIN <br />gJU:'TERATION <br />[J DEMOLISH <br /> <br />FROM PROPERTY TAX NOTICE) <br /> <br />[JREPAIR <br /> <br />[J INSTALL <br /> <br />[J SIGN <br /> <br />[JMOVE <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />~MMERCIAL <br /> <br />[JMULTI-FAMILY <br /> <br />[J# OF UNITS <br /> <br />[JMOBILE HOME <br />[JOTHER <br /> <br />[J INDUSTRIAL <br /> <br />[J SWIMMING POOL <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~i/~ I /oa~ <br /> <br />SQUARE <br /> <br />J " d' V/IJ <.r '.J~/II J ~,~,L <br />FOOTAGE ~ (61) ef HEIGHT <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT <br />ATTACH (3) SETS <br />PROPERTY SURVEY <br /> <br />r::rBUILDING <br /> <br />/~~:;,&" <br /> <br /> <br />FORMS. <br /> <br />PERMITS REQUESTED <br /> <br />r:;~7 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[J ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[J <br /> <br />FLORIDA POWER <br /> <br />[J <br /> <br />WOR7:EOC,' J <br />I \ ~ <br />l- \ I <br />4> \1 ~ () \ <br /> <br /> <br />[J PLUMBING <br /> <br />[J MECHANICAL $ <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: ~OCK <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 <br /> <br />COMP~yJun""\L C -j./.. ':J,.., c... <br />STATE CERT OR REGIST # en C-0 '> I~ /) ~ <br />CITY PROCESSING # /K'PJ- <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBBR COMPANyt.,/.I)E ~A en" ~ h t. _0 r__(; <br />/ STATE CERT OR REGIST # ~ <br />SIGNATURE l/~"''''< tfJ '4 Z CITY PROCESSING # ~?ts Ol<~' __ <br />' ,~(~,,~ <br />***************** ***********************************************~ ~ <br />MECHANICAL COMPANY <br />~ /J'7 STATE CERT OR REGIST # <br />SIGNATURE fV fT CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />OTHBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />