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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTMENT 5335 8th STRBBT ZBPHYRHILLS, FL 33540 <br />Phone:813-780-0020 Fax:813-780-0021 <br />DATB RBCBIVED i - /1- 0 ( <br />PLANS REVIEW FBB <br /> <br />OWNER'S NAME -lll)~~' ~('e-V\.' bv"~ " /1:) {J (' <br />JOB SITE ADDRESS :3~540 IJClOt~ A\J2) ~t0h~V'lA, \L~ <br /> <br />LEGAL DESCRIPTION: LOT{S) BLOCK <br /> <br />c:------:;~~~~ ()~ - ~~/-oo;:;.-/!-Ot/~OO, 0 05V <br /> <br />PHONE CONTACT <br /> <br />Pl../ 335f./o <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />100FT- t()P{J~FtJ F;/LPE <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 & (l) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (l) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />~-- <br /> <br />o ELECTRICAL <br /> <br />$ .~ tJt)O <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />. 0 OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br /> <br />BUILDBR <br />SIGNATURE V" <br /> <br />COMP <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />BLBCTRICIAN /' COMPANY / <br />STATE CERT OR REGIST # ~ <br />SIGNATURE / CITY PROCESSING # / <br />/ / <br />/ ,/ <br />*******************~************************************~******** <br />/// / <br /> <br />PLUMBBR // COMPANY / <br />/ / <br />/ STATE CERT OR REGlST # <br />SIGNATURE / CITY PROCESSING AI: <br />/ // <br />***7*** *************************************~~****************** <br />MECHANICAL COMPANY / <br />. STATE CER)"/OR REGIST # <br />SIGNATURE // CITY PRotESSING # <br />/" // <br />/ / <br />/ **************************************~4************************* <br />/ 7 <br />,/ / <br />OTHBR // Cq,M'PANY <br />. .~ATE CERT OR REGIST # <br />SIGNATURE /CITY PROCESSING # <br /> <br />***************************************************************** <br />