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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTI4BNT 5335 8th STREET ZEPRYRRILLS, PL 33540 <br />PhoneI813-780-0020 PaxI813-780-0021 <br />DATE RECEIVED <br />PLANS REVIEW PEE <br /> <br />I j--/9-o( <br /> <br />IfG-te..I1.."~ <br /> <br />OWNER'S NAME Cr-It A""" j} <br /> <br />PHONE CONTACT <br /> <br />JOB SITE ADDRESS Lv I / r..; ( <br /> <br />N't::",K,-,~"1 19 u -- <br /> <br />c?7~-/9 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br /> <br />OMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />~E HOME <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK m. tt <br />BUILDING SIZE :} '1...)( b ~ <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 />PBRMITS RBQUBSTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o 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 AREAO YES <br /> <br />o NO <br /> <br /> <br />SIGNATURE W ~tJ~ <br /> <br /># <br />Iff <br /> <br />****************************************************************** <br /> <br />COMPANY /.J~ <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br /> <br />COMPANY H ~ --- <br />, ::;rr:-zr?J) . STATE CERT OR REGIST # <br />IU ~JJ~ . CITY PROCESSING # JI/f <br /> <br />*****~************************************************1.*********** <br /> <br />COMPANY C!.~ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />J'~4~ <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br />14~-- <br /> <br />COMPANY <br /> <br />oJ ~~ ~~~~8p;~~S~~':8~rll~ <br /> <br /> <br />***************************************************************** <br /> <br />SIGNATURE <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />