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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br /> <br />BUILDING DBPARTMENT 5335 Sth STREET ZBPHYRHILLS, PL 33540 <br />Phone:S13-7S0-0020 Pax:S13-7S0-0021 <br />DATB RBCBIVED 11_ ,. ~ c> I <br />PLANS REVIBW PBB <br /> <br />OWNER'S NAME ~'7'CC' f 3(,~ /J1A;eS <br /> <br />JOB SITE ADDRESS rs~/ VI C/f:. 57/ P h / #,i,>;r::- <br /> <br />PHONE CONTACT J,fj- / !/6{f- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: (JNEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />[/' ADDITION <br /> <br />(JALTERATION <br /> <br />(JREPAIR <br /> <br />(J INSTALL <br /> <br />(J SIGN <br /> <br />(JMOVE <br /> <br />(J DEMOLISH <br /> <br />PROPOSED USE: (JSGL FAMILY DWELLING <br /> <br />(JMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />(J MOBILE HOME <br /> <br />(J COMMERCIAL <br /> <br />(J INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />(J OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />Ad.J(Vtj ~ '46 b1-IS-r;~S StAle..)- <br />SQUARE FOOTAGE <br /> <br />"0f- <br />t . <br />.'3e y~,~ 111 <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <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 />~UILDING <br /> <br />$ <br /> <br />6t1.t> <br /> <br />. eo <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />(J ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />(J FLORIDA POWER <br /> <br />(J W.R.E.C. <br /> <br />o PLUMBING <br /> <br />(J MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />(J ROOFING <br /> <br />o SPECIALTY <br /> <br />(J OTHER <br /> <br />TYPE OF CONSTRUCTION: (J BLOCK <br /> <br />(J FRAME <br /> <br />(J STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA(J YES <br /> <br />(J NO <br /> <br /> <br />a-J <br /> <br />COMPANY IJvJ/th' <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />BUILDER <br /> <br />************************************************ <br /> <br />ELBCTRICIAN <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 />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />Ii,. <br />