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<br />OWNER'S NAME <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING ,DBPARTMENT 5335 810h STRBBT ZBPHYRHILLS, FL 335,40 <br />Phone:813-780-0020 Fax:813-780-0021 <br />DATB RBCBIVED <br />PLANS REVIBW FBB <br /> <br />PHONE CONTACT ,&J - CO~~'\ <br /> <br />VQ.'0"~ \, <br />f"l \ So-\- <br /> <br />LEGAL DESCRIPTION: LOT(S) . ~ <br /> <br />JOB SITE ADDRESS <br /> <br /> <br />F\\J~. <br /> <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />\\ d-\::, ()J OC,\() <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />Jo dOC <br />[J ADDITION <br /> <br />WBO <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />[JALTERATION <br /> <br />[JREPAIR <br /> <br />[J INSTALL <br /> <br />[JSIGN <br />PROPOSED USE:~GL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />[J MOVE <br /> <br />[J DEMOLISH <br /> <br />[JMULTI-FAMILY <br /> <br />[J# OF UNITS <br /> <br />[J MOBILE HOME <br /> <br />[J INDUSTRIAL <br /> <br />[J SWIMMING POOL <br /> <br />[J OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />~ RESTAURANT . HEALTH DEPARTMENT APPROVAL <br /> <br />~~ <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 & (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 /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />[J W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ ':r~ de) .00 <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />~OOFING <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />D NO <br /> <br /> <br />BUILDBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />BLECTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBBR <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 />OTHBR <br /> <br />~t\~.....~ <br />-f/.~-- <br /> <br />***************************************************************** <br /> <br /> <br />COMPANY Yc~ \\.~().p 'c.~ Qcu~) <br />STATE CERT OR REGIST # CCC O'5~S'" <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />2~__ <br /> <br />--- <br /> <br />***************************************************************** <br />