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<br />C4l!ei I()-li~ 0 I a- <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 Sth STREET ZEPHYRHILLS, FL 33540 <br />Phone:S13-7S0-0020 Fax:S13-7S0-0021 <br />DATE RECEIVED I rfl-jf-ol <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME <br /> <br /> <br />CONTACT ~~Z - zi J 3 <br /> <br />JOB SITE ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S} <br /> <br />PARCEL ID # )J- ZIb-2 <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />DSIGN <br /> <br />~DITION <br />DMOVE <br /> <br />DALTERATION <br /> <br />DREPAIR <br /> <br />o INSTALL <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br /> <br />o COMMERCIAL <br /> <br />D INDUSTRIAL <br /> <br />D SWIMMING POOL <br /> <br />DOTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK /J..}..J/Jr i.L) J <br />BUILDING SIZE ),,'jo. z.. z..' <br />, <br /> <br />@..?JIL~ -..L -I /'4/ .J.IJ.^ iu-. W 4 J j~ <br />SQUARE FOOTAGE 3-S 'Z- <br /> <br />HEIGHT <br /> <br />~/ <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. , j tU ~ <br /> <br />y].ttA- _- <br />PERMITS REQUESTED ~ <br /> <br />o BUILDING <br /> <br />$ <br /> <br />D MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE 0 FLORIDA POWER 0 W'R.E.tJ~ <br /> <br /> <br />VALUATION OF MECHANCIAL INSTALLATION 1 q I- ,9 !) f? () <br /> <br />o ELECTRICAL <br /> <br />o PLUMBING <br /> <br />o GAS <br /> <br />D ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <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 '~ NO <br /> <br />BUILDER kJ.' <br /> <br />SIGNATURE ~~ <br /> <br />COMPANY 0.. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # 02~~g ~ <br /> <br />****************************************************************** <br /> <br /> <br />COMPANYQ.I ~S..,) L'j ~ <br />STATE CERT OR REGIST # ~ ..~~~ <br />CITY PROCESSING # ~~~ ' <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 />