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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 Sth STREET ZEPHYRHILLS, FL 33540 _ <br />Phone:S13-7S0-0020 Fax:S13-7S0-0021 / / <br />DATE RECEIVED r _0 /) LO ( <br />PLANS REVIEW FEE' I <br /> <br />OWNER'S NAME ;11 It Q. All S <br />JOB SITE ADDRESS 39 ?;-;F) <br /> <br />6u{) t? <br /> <br />PHONE CONTACT ~ - 9~ ~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />i/V( 'i tIS- 0 Ot l.<.I C-' con <br /> <br />SUBDIVISION <br /> <br />/0 Or) <br />, <br /> <br />BLOCK <br /> <br />_ 0 I t.I 0.. CJt::>000'- <br /> <br />~ () (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />PARCEL ID # <br /> <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o ADDITION <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />o COMMERCIAL <br /> <br />[JALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o OTHER <br /> <br />DESCRIPTION OF WORK 0) <br /> <br />0~- <br />f-i <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />( <br />L-, ~ J{ <br /> <br />C' ,-/1. Ii, >U <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (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 />$ <br /> <br />PERMITS REQUESTED <br /> <br />[J BUILDING <br /> <br />D ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D W.R.E.C. <br /> <br />D PLUMBING <br /> <br />D MECHANICAL <br /> <br />$ <br /> <br />D FLORIDA POWER <br /> <br />o GAS <br /> <br />o OTHER <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />D FRAME <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />padw~~s JO pa~u1Jd 'padA~ am~N <br /> <br />4uawDpaTMou~oe DUl~e4 uosJad JO aJn~~UDTS <br /> <br />q~~o U~ a)[~~ ~ou P1FO P1P[J OqM pu~ <br />(u01~~o1J1~uap1 JO adA~) <br />pa::mpoJd s~q oqM [J <br /> <br />JO 'am o~ UMOU)[ ATT~uosJad s1 oqtJ <br />(paDpaTMou~o~ uosJad JO ameu) <br />Aq <br />-:- 61 I JO Aep- s1q~ am aJoJag <br />pafipaTMou~o~ S~M ~uamnJ~SUT DUloDaJO~ aQili <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br />padm~~s JO pa~u1Jd 'padA~ am~N <br /> <br />~uamafipaTMOU)[O~ DU1~~~ uosJad JO aJn~~ufi1S <br /> <br />'q~~o U~ a)[~~ ~ou P1P[J P1P DoqM pu~ <br />(U01~~o1JT~uap1 JO adA~) <br />paonpoJd s~q oqM D <br /> <br />JO 'am o~ UMOU~ ATTeuosJad sT oqMD <br />(paDpaTMOU)[O~ uosJad JO am~u) <br />Aq <br />--e;1 I JO A~p - s1"q~ am aJolag <br />paDPaTMouxo~ S~M ~uawnJ~SUT fiUTODaJO~ aQ~ <br />