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<br />OWNER'S NAME <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br /> <br />BUILDING DEPARTIiBNT 5335 8th STRBET ZEPIIYRBILLS. PI.- 33540 <br />Phone.813-780-0020 Pax.813-780-0021 <br />DATE RBCEJ:VBD <br />PLANS RBVJ:BW I'EE <br /> <br />JOB SITE ADDRESS <br /> <br />1'\4 T/f5f( /N.E ~ FJ IIV ,<; a A( <br />3 >11;;1 c; 'I-r~. <br /> <br />PHONE <br /> <br />l/.-1- : <br />CONTACT2?l3 -7~- 77(? <br /> <br />'><t.l!:GAL DESCRIPTION: LOT(S) <br /> <br />'~ARCEL ID # /l.(...;)., 0 _ 00300 _ 001 () <br />WORK PROPSED: ONEW CONSTRUCTION 0 ADDITION <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <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 DWaLLING <br />o COMMERCIAL <br /> <br />OMULTI - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o SWIMMING POOL <br /> <br />.. DESCRIPTION OF WORK <br />l._,::----'--" '="..___.." ,'., ".,;,^,..,....",. ,__,,,no_____ <br /> <br />BUILDING SIZE <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~1?\'. -~ . <br /> <br />SQUARE FOOTAGE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />HEIGHT <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 />~,BUILDING <br />o ELECTRICAL <br /> <br />PBRMITS RBQUESTED <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 />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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' 0 NO <br /> <br /> <br />BUJ:LDBR <br />SIGNATURE: .v5(t7.;tt L/u~Qo-I~ A A-rt/ <br /> <br />C~~-;~ANY- <br />-...::::::_-,--- <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />BLECTRICJ:AN <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />PLUMBER <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />HBCllANlCAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />OTHER <br /> <br />***************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />