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<br />[. r \ c. 1+; J W-J ~"'l: <br /> <br />JOB SITE ADDRESS T J. \ <f ')r~ k'ee7f <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION ~J C:;-:2. 5 -tJr:< <br /> <br />BUILDING DEPARTMENT 5335 SU STREET ZEPHYRHILLS, PL 33540 <br />Phone:S13-7S0-0020 Pax:S13-7S0-0021 <br />DATE RBCEIVED j2 - ?~ - 0 :;J..... <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br /> <br />BLOCK <br /> <br />PHONE CONTACT <br /> <br />72- (--h \ k 'J 1p-( I <br /> <br />[ oL q SUBDIVISION <br />I} -It,-J..I-t>tIO - I.lJiOo-Oo" II..{ <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br /> <br />[] ADDITION <br /> <br />P53ALTERATION <br />[] DEMOLISH <br /> <br />[] REPAIR <br /> <br />[] INSTALL <br /> <br />[] SIGN <br /> <br />[]MOVE <br /> <br />PROPOSED USE:)QSGL FAMILY DWELLING <br /> <br />[]MULTI - FAMILY <br /> <br />[]# OF UNITS <br /> <br />[] MOBILE HOME <br />[] OTHER <br /> <br />[] COMMERCIAL <br /> <br />[] INDUSTRIAL <br /> <br />[] SWIMMING POOL <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK rev>'\"AQ._ ~~i)-l;"""",, eV\.d~W\J K U f\'~.rJ "..IV~ ~CvY\e <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HE IGHT {;: /'II <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 />~ BUILDING $ J(}"pOjf>) VALUATION OF TOTAL CONSTRUCTION <br />'Ja ELECTRICAL \re) AMP SERVICE ~ FLORIDA POWER [] W.R.E.C. <br />[] PLUMBING <br />[] MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />[] GAS [] ROOFING D SPECIALTY D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br />FINISHED FLOOR ELEVATIONS '(\r/ C- <br />< <br /> <br />~ FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREA~ YES <br /> <br />[] NO <br /> <br /> <br />Ov~ <br /> <br />~ COMPANY <br />~ ~ STATE CERT OR REGIST # <br />~ CITY PROCESSING # <br /> <br />**** ********************************************************* <br /> <br />BUILDBR <br /> <br />SIGNATURE <br /> <br />BLBCTRICIAN ~ <br />SIGNATURE <br /> <br />COMPANY 6 '"""'-' ~ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHBR <br /> <br />COMPANY <br />STATE CERTOR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />