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<br />OWNER'S NAME (3 '<.. ) <br />JOB SITE ADDRESS <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br /> <br />BUILDING DBPARTHBNT 5335 8~ STRBBT ZBPBYRBILLS. PL 33540 <br />Phone,813-780-0020 Pax,813-780-0021' <br />DATB RBCBIVlm <br />PLANS RBVIBW I'BB , <br /> <br />.-- <br />(......1 <br /> <br />fJ 111- ~ . ~ Vc...5/h ~."'" 7'f> <br />J ()<I'" E h? <."',.,. r J <br /> <br />PHONE CONTACT <br /> <br />roc, ,~ r <br /> <br />LBGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />eM r!:~~JJ r'c,; T <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITIO~ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />D MOVE <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />DMULTI - FAMILY <br /> <br />0# OF UNITS <br />D SWIMMING POOL <br /> <br />~BILE HOME <br />D OTHER <br /> <br />o INDUSTRIAL <br /> <br />DESCRIPTION OF WORK <br /> <br />O.RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />FA/-It.. Me. J~ I . <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />RESIDENTIAL I <br />COMMERCIAL: <br /> <br />~TTACH (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 />HEIGHT <br /> <br />o BUILDING <br /> <br />PBRMITS RBQUB~TBD <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 />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLqCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLQOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA 0 YES 0 NO <br /> <br /> <br />BUILDBR <br /> <br />SIGNATURE. <br /> <br />COMPANY p~ <br />~ STATE CERT OR REGIST # <br />W _n~ H_,/; -, CITY PROCBSSIN~"l'.fZ <br /> <br />****************************************************************** <br /> <br />~ <br /> <br />BLBCTRICIAN <br /> <br />SIGNATURE <br /> <br />. COMPANY He.-<- <br />~~ STATE CERT. OR REGIST # <br />W.<-r--- -~~ / CITY PROC.SSIN':)c;51'1 <br /> <br />****************************************************************** <br /> <br />COMPANY iJ~ <br />STATE CERT OR REGIST # <br />GJ '-y--c- ~ CITY PROC.S~. <br /> <br />***************************......*****....****..**....***.*..****. <br />COMPANY J1 c:. -. <br />STATE CERT OR REGIST # <br />tJ<>,.--tJ~ CITY PRlJCESSING:r-1Ji;t ~~ <br /> <br />***************************************************************** <br /> <br />PLUHBBR <br /> <br />SIGNATURE <br /> <br />IIBCR.AHICAL <br /> <br />SIGNATURE <br /> <br />= <br /> <br />OTHBR <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br />