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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDINQ DEPAR~ 5335 8~ STREET ZEPBYRBILLS. PL- 33540 <br />Phon.,813-780-0020 PaxI813-780-0021' L- /;- {)n <br />DATE RECEIVED _ _J " <br />PLANS RBVIBW PEE <br /> <br />OWNER'S NAME ~.\\ \ \~ is fl.-fT/,q- G W U Re.H- <br />JOB SITE ADDRESS ") <?? b :3 if l?r: ' t;; tJ- <br /> <br />PHONE CONTACT ;'i?":<, -(PI r'l <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 />D ADDITION <br /> <br />DALTERATION <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />DSIGN <br /> <br />D MOVE <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />DMULTI - FAMILY <br /> <br />D# OF UNITS <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />CJ RESTAURANT <br />DESCRIPTION OF WORK Tv s Tt\ L...L <br />BUILDING SIZE ::<..& )( :<.~ <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />C \4-12.... P ~ Il:F <br /> <br />SQUARE FOOTAGE <br /> <br />650 <br /> <br />HEIGHT <br /> <br />~I <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 />PBRMITS RBQUESTBD <br /> <br />o BUILDING <br /> <br />$ ;; Cf6D <br />I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D 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 />D 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 />)I{ ~TEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES W NO <br /> <br /> <br />BUILDER Q COMPANY <br />---D ) -1l. STATE CERT OR REGIST # <br />SIGNA~~ ./'= _ Mj(P, , CITY PROCSSSING * <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MBCRAHlCAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />