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<br />( Ct~/~d' ':/ -( ~O..;2 If- I <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDXNG DBPARTMENT 5335 8th STRBBT ZBPHYRHILLS, PL 33540 <br />PhoneI813-780-0020 Pax:813-780-0021 <br />DATB RBCBIVED ;2 - :2 Is:. - O~ <br />PLANS REVXEW FEE <br /> <br />OWNER'S NAME <br /> <br /> <br />PHONE CONTACT <br />htC:f'Q(/ <br /> <br /> <br />JOB SITE ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # c::2. <br /> <br /> <br />'0000 - <br /> <br /> <br />FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: <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 />o MOBILE HOME <br />o OTHER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />I#d*r IJrV <br /> <br />BUILDING SIZE <br /> <br />/2 'I 30 'irPl-I '7 <br /> <br />SQUARE FOOTAGE <br /> <br />/05& <br /> <br />1 <br /> <br />Ju II <br />HEIGHT / &; <br />. <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 />o BUILDING <br /> <br />PERMITS REQUESTED <br />$ 22 3)<6.00 <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 />/,,15:2-"3 <br />1113/ <br /> <br />,///' <br /> <br />o GAS <br /> <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 <br /> <br />o NO <br /> <br />BUILDER ~ <br />SIGNATURE;;ZJf/~ ;=- t~1h'l'--- <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />ELBCTRICIAN <br /> <br />****************************************************************** <br /> <br /> <br />COMPANY t11(/ )( C-/' <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />PLUMBBR <br /> <br />..................................:::::::..~~;;;:~............ <br /> <br /> <br /> <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST f# <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />