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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br /> <br />BUILDING DEPARTMENT 5335 8~ STREET ZEPHYRHILLS, PL 33540 <br />Phone:813-780-0020 Fax:813-780-0021 <br />DATE RECEIVED <br />PLANS REVIEW PEE <br /> <br />OWNER'S NAME ~n{)~ 2 t-t(' ('0/ tA.. <br />JOB SITE ADDRESS 9r 2S' ~Tf-J- S I <br /> <br />PHONE CONTACT <br /> <br />LEGAL DESCRIPTION: LOT{S) <br /> <br />"'2eph7Ykd/l> F( <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 />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />~TALL <br /> <br />DSIGN <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 INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />/S~l <br /> <br />ATTACH (2) PLOT <br />ATTACH (3) SETS <br />PROPERTY SURVEY <br /> <br /> <br />APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />y( <br /> <br />SQUARE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />PLANS & (2) SETS OF BUILDING PLANS & (l) SET ENERGY FORMS. <br />OF BUILDING PLANS & (l) SET ENERGY FORMS. <br />REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ "'~/'~O' tXJ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />D W.R,E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL $ <br />D GAS ~G <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE MEAD YES <br /> <br />D NO <br /> <br /> <br />-- <br />) <br /> <br />COMPANY r;;5rA- ~If;, ~' <br />STATE CERT OR REGIST # <br />CITY PROCESSING # .:z S <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBBlR <br /> <br />COMPANY <br />STATE CERT OR REG 1ST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />OTHER <br /> <br />~************************************************~*** <br /> <br /> <br />/ /,~ COMPANY 705(6: ,t/1e,Jrr <br />. , ----;-;;, STATE CERT OR REGIST # eo?!::i-:;; ~;;J- (" <br />{;/II'" l' t-t.~ loSe 0-....... CITY PROCESSING # c2 151 <br /> <br />***************************************************************** <br /> <br />SIGNATURE <br />