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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 Sth STREET ZEPHYRHILLS, PL 33540 <br />Phone:S13-7S0-0020 Pax:S13-780-0021 ~ <br />DATE RBCEIVED 0/... - 1<;5, 02 <br />PLANS REVIEW PEB <br /> <br />OWNER'S NAME G-^~ <br /> <br />JOB SITE ADDRESS <br /> <br />L,--r <br /> <br />h"o~/~",J <br />2... ~ N<:.vl<0~ <br /> <br />PHONE CONTACT <br /> <br />LEGAL DESCRIPTION: LOT(S} <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />o MULTI - FAMILY <br /> <br />0# OF UNITS <br /> <br />E31:fci'BILE HOME <br />o OTHER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />M (i <br /> <br />5(1:- ~ <br />SQUARE FOOTAGE <br /> <br />BUILDING SIZE <br /> <br />'- ~ rt Vf <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 />PERMITS REQUESTED <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 />o PLUMBING <br /> <br />o 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 AREAD YES <br /> <br />o NO <br /> <br /> <br />SIGNATURE <br /> <br />w ~ LJ;:;a:zt:J <br /> <br />COMPANY LJ~ <br />STATE CERT OR REG 1ST # <br />CITY PROCESSING # 1.i y <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />ELBCTRICIAN <br /> <br />SIGNATURE <br /> <br />~ <br />t~j ~ft. <br /> <br />COMPANY )1 ~ ~ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # t-{ 5 <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />0-A ~,t:J~ <br /> <br />COMPANY P,~. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # i/'6 <br /> <br />PLUMBER <br /> <br />****************************************************************** <br />MECHANICAL COMPANY /4c.... ~ <br />~ 'I~~/ ) STATE CERT OR REGIST # <br />SIGNATURE W-C"", ~ CITY PROCESSING # l.ft; <br /> <br />***************************************************************** <br /> <br />OTHBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />