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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br /> <br />BUILDING DBPARTMENT 5335 Sth STREET ZEPHYRHILLS, FL 33540 <br />Phone:S13-7S0-0020 FaxIS13-7S0-0021 <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME QrA \j \ t'-\QJrcJn i SO~ rt\.1 \leA Ne A\('oJ <br />JOB SITE ADDRESS "36o~L\ t-\e'ciAcoJ CrLnh A~~ <br /> <br />PHONE CONTACT I ~~ -5)3 \ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # '?:J5~ L CSr' <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br /> <br />0- DOCOo- Ou 0 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />Os IGN <br /> <br />o MOVE. <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br /> <br />OMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br /> <br />o COMMERCIAL <br /> <br />o INbUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK llio \Q~",\ ~r(D( C~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & II) 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 />$ \\ ) 'l- ~L <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 />o GAS ~FING D SPECIALTY <br />.. <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 !3LOCK <br /> <br />o FRAME <br /> <br />D 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 />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <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 />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*********************************************~******************* <br /> <br />OTHHR ~il0\~10~D ~ <br /> <br />SIGNATURE U <br /> <br />COMPANY~\ s'C ~~ ~\)~V1d <br /> <br />STATE CERT OR REGIST # C(.(-D[~\ 3'-\ <br />CITY PROCESSING # 2...C?: L <br /> <br />***************************************************************** <br />