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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTMBNT 5335 B~ STRBBT ZBPRYRBILLS, P~ 335tO <br />PhoneIB13-7BO-0020 PaxIB13-7BO-0021 <br />DATB RBCB:IVJID / ~ ,;).:2 ...0 ::2 <br />PLANS RBVIBW PBB <br /> <br />OWNER'S NAME Bc'h fdJ ((/1A)/( <br />JOB SITE ADDRESS C;(p C/O 17~ ::sr. <br /> <br />PHONE CONTACT <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />DSIGN <br /> <br />[JADDITION <br />D MOVE <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />[J INSTALL <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI - FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br />[J OTHER <br /> <br />[J INDUSTRIAL <br /> <br />[J SWIMMING POOL <br /> <br />BUILDING SIZE <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />Ser{)/~~ ~_.....-e:- <br />o <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <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 />PERMITS REQUBSTBD <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 />D PLUMBING <br /> <br />[J 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 MEAO YES. 0 NO <br /> <br /> <br />BU:ILDBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />BLBCTR <br /> <br /> <br />***************** ~**********************.*********'************** <br /> <br />COMPANY -n~fJf (;;,,5 ~rtC:C <br /> <br />STATE CERT OR REGrST # ;:::It -601')' ;< -57C) <br />CITY PROCESSING # /it;? <br />f <br />********************************************* <br /> <br />PLUMBB. <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br />~IGNATURE <br /> <br /> <br /> <br />COMPANY <br />STATE CERT OR R <br />CITY PROCESSING <br /> <br />OTBBR <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />