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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br /> <br />BUILDING DEPAR~NT 5335 8th STREET ZEPHYRHILLS, PL 33540 <br />Phone:813-780-0020 Fax:813-780-0021 <br />DATE RECEIVED 9 - 10 - 0 I <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME d,(/&ey /l.;W/ E:. '\ <br />JOB SITE ADDRESS 7"~/7 a/9L~ L<;;'V, <br /> <br />PHONE CONTACT 7 J;f - .fY"J ~ <br /> <br />LEGAL DESCRIPTION: LOT(S} BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID #, u Z; '> I 0 a <br />1 ..." CI 10 6~ laC} <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />dOd'O <br />o ADDITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <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 MOBILE HOME <br />o OTHER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ~/." 77'9/ L ~rt'hll/c, /!r?L/l9t:Ir c; nJ?f ~<;{)iPy;e--S.SIc.vV SY'\i,c I'YJ <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 & (I) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ~ <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCT IONdi" ._0_ ~$~~ ~ <br />~ ~ 1(..,0 ft~ <br />0' · <br />PERMITS REQUESTED (D. q,/::At ~j <br /> <br />$ j '-100. at!> VALUATION OF TOTAL CONSTRUcrION ~ 0 I <br /> <br />AMP SERVICE 0 FLORIDA POWER 0 ~.R.E.C. <br /> <br />o BUILDING <br /> <br />o ELECTRICAL <br /> <br />o PLUMBING <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />C1-~ <br />o ~lo 1 <br />d rf?qO <br /> <br />o MECHANICAL $ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE <br /> <br />o NO <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />************************************************************* **** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />************************************************************ ***** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*********************************************************** ****** <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br /> <br />********************************************************* <br /> <br />OTHER <br /> <br />COMPANY S~-'-u..?~ /'lK'E. athPn7,c:JI// <br />. ~ STATE CERT OR R GIST # 0 70q~Jac1(J 1%70 <br />~L -L/.K~ CITY PROCESSING # <br />/" ~ ~~ <br /> <br />****************************************************** ********** <br /> <br />SIGNATURE <br />