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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTMENT 5335 Sth STRBBT ZBPHYRHILLS, FL 33540 <br />Phone:S13-7S0-0020 Fax:S13-7S0-0021 <br />DATB RBCEIVED <br />PLANS REVIEW FBB <br /> <br />. <br /> <br />OWNER'S NAME ~~ (\~ <br />JOB SITE ADDRESS ~C ,,' ;. () EJ -Ave ./ <br /> <br />PHONE CONTACT f?f8 -::<7~5 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[J ADDITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br />[JALTERATION [J REPAIR ~STALL <br /> <br />[J SIGN [J MOVE [J DEMOLISH <br />PROPOSED USE: ~ FAMILY DWELLING [JMULTI-FAMILY [J# OF UNITS <br /> <br />Ls <br /> <br />HOME <br /> <br />[J COMMERCIAL <br /> <br />[J INDUSTRIAL <br /> <br />[J SWIMMING POOL <br /> <br />[J OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />---:C:(t5t-a: \ l <br /> <br />AJ (? 0\.) <br /> <br />o <br /> <br />pac kcr~ lA 01+ <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 & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />[J BUILDING <br />~CTRICAL <br /> <br />LJ ~ () 0 PERMITS REQUESTED <br />~ VALUATION OF TOTAL CONSTRUCTION <br /> <br />$ <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />[J <br /> <br />W.R.E.C. <br /> <br />[J PLUMBING <br />~HANICAL <br /> <br />$~~ <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: [J BLOCK <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 />DNO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />BLBC"rR1C1t:n A ~ COMPlINY--A,A JO f\ ~ CC ;; 'i ~- <br />~ STATE CSRT OR REGIST # mY' CJ i ;.:;)..;1: <br />SIGNATURE . CITY PROCESSING # <br /> <br />*****~**** *************:~*************************************** <br /> <br />PLUMBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />************************************************* <br /> <br /> <br />MBCHANICAL~ ~ COMPANY <br />Ii If) /) /} STATE CERT OR REGIST # " <br />SIGNATURE 1At~P1AJ-S ~.4:/ {/ ;<1'-----, CITY PROCESSING # 27 ~ 7 <br /> <br />***************************************************************** <br /> <br />OTHBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />