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<br />.. <br /> <br />CITY OF ZBPHYRHILLB P~RMIT APPLICATION <br />IIUZLDl:NG Dl!l~ARTK8NT 5335 stb STRUT ZHI'HYRlIILLS. rL 33540 <br />Phon8181~-780-0020 Pax:813-780-0021 <br />DATil RllCBl:Vl'lD <br />PLANS RlIVIBW 11'1111 <br /> <br />OWNER'S NAI'IIi First Union Bank PHONE CONTACT <br />JOB SITE ADDRESS 38008 North Avenue Zephyrhills, Fl 33540 <br /> <br />LEGAL DESCRIPTION, LOT(S} <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # 10-26-21-0020-00000-0010 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br /> <br />o SIGN <br /> <br />[] ADbITIOl'l <br />[] MOVE <br /> <br />OALTEMTION <br /> <br />[] REPAIR XKJ INSTALL <br /> <br />o DEMOLISH <br /> <br />PROposeD USE: []SGL FAI'IILY DWELLING <br />Xij COMMERCIAL <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br />o SwrMMnw POOL <br /> <br />o MOBILE HOMS <br />o OTHER <br /> <br />[] INDUSTRIAL <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WOR~ <br /> <br />~UE' split Jl'/C SRys~1 install ground HOUnt:OO pa&-~ge unit <br /> <br />SQUARS l"OOTAGE <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS k (2) SETS OF BUILDING PLANS ~ (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~~8: f~-~tec <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />Total Recg-- $40.00 <br /> <br />o BUILDING <br />lXJjLECT1UCAL <br />o PLUMBING <br /> <br />$ $8,000.00 <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W,R.E.C. <br /> <br />../$)5.00- Elec <br />'--'$60.00- Mech <br />$85.00 <br />'Ibtal- $125.00 <br /> <br />~CI-lANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />DGA8 <br /> <br />o ROOFING <br /> <br />o SPSCIALTY <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 AREAO yas Cl NO <br /> <br /> <br />BtJILDRR <br /> <br />COMP.l\llY <br />STATa CIiRT OR REGIST ~ <br />CITY 'PROCESSING # <br /> <br />SIGNATURE <br /> <br />..****.*..*.******.*.***.*.~...~w*******..._**.~.~~***********~... <br /> <br />...."ft,.~\-'> € "''''ANY C.cmnPrci a 1 Afr- r.n<rrnorc; a 1 <br />STATE CllRT OR REGIST II Ec.n001707 <br />SIGNATURE CITY PROCESSING /I <br /> <br />.***.~.*.........*.*..**.*..*.*.........***......*.**~.~!~~..** <br /> <br />Electric <br /> <br />PLUIIElZ.. <br /> <br />COMPANY <br />STATS CIlRT OR REGIST II <br />CITY PROCESSING # <br /> <br />SIGNATURE: <br /> <br />KIICHANl:CAL <br /> <br />r\\ <br /> <br /> <br />· **~**..***.*....*..w****.*******.*****.**...* <br />COMPANY C'f)1l'111l=>r; C"rll A/C'- C'nrrm""rr.; F11 <br />STATE CERT O~REGI ,/I ..eN' nSfi71 q <br />CITY PROCESSING ~ 7/ '7 <br /> <br />.........***.**........... ...**********.*..* <br /> <br />Electric <br /> <br />BIGNATURIi <br /> <br />OTHBR <br /> <br />SIGNATURIi <br /> <br />COM~ANY <br />STATE CERT OR RBGIST # <br />CITY PRoCBSSING II <br /> <br />**....*********.*****...*.*...******.**~*...*****...*...**~.**... <br /> <br />I'd <br /> <br />Z680'ON <br /> <br />SllIH~^Hd3Z jO All) <br /> <br />~dZI:1 IOOZzz'~n~ <br />