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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTIbINT 5335 Sth STRBBT ZBPRYRBILLS, PL 33540 <br />PhoneIS13-7S0-0020 PaxIS13-7S0-0021 <br />DATB RECBIVED / j - / f'-o ( <br />PLANS RBVIBW PBB <br /> <br />. <br /> <br />OWNER'S NAME ~6~,4 WI? Tc"'.e S <br />JOB SITE ADDRESS ".] ') I ;l J- ~.R'~ {II1..J...H ~ <br /> <br />PHONE CONTACT <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # / <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br /> <br />G./ ZJO~ oS c!2 U (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />[] ADDITION <br /> <br />[]ALTERATION <br /> <br />[]REPAIR <br /> <br />[] INSTALL <br /> <br />[]SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />[]MULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br />[] OTHER <br /> <br />[] INDUSTRIAL <br /> <br />[] SWIMMING POOL <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />(P , 'P ,e III ~ 1::::;;- <br /> <br />SQUAR FOOTAGE <br /> <br />BUILDING SIZE <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 />~UILDING <br />[] ELECTRICAL <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />[] PLUMBING <br /> <br />[] MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES 0 NO <br /> <br /> <br />BUILDBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />........................................************************** <br /> <br />BLBCTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MBCHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHBR <br /> <br /> <br />COMPANY K C-LjlC{" :s-~ L) J'V'.- <br /> <br />STATE CERT OR REGIST # <br /> <br />CITY PROCESSING # I 7 // <br /> <br />* * * * * * * * * ** * ** * * * * * * * ** * * * * *.* * * * * * * * * ** * * * * *,* * * * * ** * * * * * ~*oK. <br />