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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTMENT 5335 8~ STRBBT ZBPRYRBILLS, PL 33540 <br />Phone:813-780-0020 Paxr813-780-0021 <br />DATB RBCBIVlID / J. -;;2. V ~ 0 ( <br />PLANS RBV:IBW PBE <br /> <br />QoU0h <br />Lo.,~ "S +- <br /> <br />OCK <br /> <br />OWNER'S NAME -nO f\ l\(l)... <br />JOB SITE ADDRESS S~ <br /> <br />PHONE CONTACT '1? () - 'jq !'?5 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: ONEW CONS!RUCTION 0 ADDITION o ALTERATION 0 REPAIR <br />OSI~ 0 MOVE 0 DEMOLISH <br />PROPOSED USE: ~ FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />~L <br /> <br />~HOMB <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF HaRK _10 e w p{l('~ g-<? Ll nl +- :TnS~CI., l-J- <br /> <br />BUILDING SIZE SQUARE FOOTAGE 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 />o BUILDING <br />o ELECTRICAL <br />o PL~NG <br />~CHANICAL <br /> <br />$ <br /> <br />~RMITS REQUESTED <br />G So 2:l VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />~(J <br />eoCSDC-/ <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 />m!fn;;;t:fT~J!JqTIRfI~ f1r~~tri'Pl~~qi~1f~ - - ---- - --- - - if~i!g~~1ffijW. ' <br />rJifik:~l"', :tlii';{'1~'1'1':,:'j:r:t:.:fl[)';I"!t:t)'11" r r:!./ et!tH ltl :;1';1.['" : _ __ ._. _ . _ .. ~tTf:~~~i\B!'l'~ltlf!j'\fIflJ:mJ7iff'iItm!1T1I~1ffit[,!t!' to, '''''''""":,,.i. '" <br /> <br />BUILDBR <br /> <br />COMPANY <br />STATE CERT" OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />BLECTRICIAN <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 />MECRANI~~***********~********~~*********~~~;:;;******~:I:* <br /> <br />:~ ~ STATE CERT OR REGIST # vY""'LO <br /> <br />SIGNATIlRE .... ~.~. .....~............ ..::: .::~::::::.:..:::'~. ::'2 <br /> <br /> <br />OTHBR <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />