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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th STREET ZEPHYRHILLS, FL 33540 <br />Phone:813-780-0020 Fax:813-780-0021 <br />DATE RECBIVED / IJ <br />PLANS REVIEW FBi' <br /> <br />.. <br /> <br />- /1- 0 I <br /> <br />OWNER'S NAME <br /> <br />PHONE CONTACT <br /> <br />JOB SITE ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <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 MOBILE HOME <br />o OTHER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTA~RANT & ~H DEPARTMENT APPROVAL .. <br /> <br />LJ711J~~h~?V--~A/;J ~n-i 1/-. / <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 />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />Z2r; <br /> <br />AMP SERVICE <br /> <br />~ 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 />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />ONO <br /> <br /> <br />BUILDBR <br /> <br />I' COMPANY r; - h <br />I r'tJ:: J STATE CERT OR REGIST # C.Cb L('J 6072{. <br />I\.J ~~ C. hh'L CITY PROCESSING # 02 fs'f?.:J I ......--'" <br /> <br />************ ************************************************::* <br /> <br />SIGNATURE <br /> <br />SIGNATURE" <br /> <br /> <br />COMPANy-13, /., ...s-rruU E/er-h-I( . ~(_ <br />STATE CERT OR REGIST # EX:.. I 'Z.Lf I <br />CITY PROCESSING # 20cgq t...--------. <br /> <br />******************** ********************************************* <br /> <br />PLUMBBR COMPANY <br />STATE CERT OR REGIST # <br />SIGNATURE CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />