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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 Sth STRBBT ZBPHYRRILLS, FL 33540 <br />PhonesS13-7S0-0020 FaxsS13-7S0-0021 <br />DATB RBCBIVBD 5" -~;;2 1- O~ <br />PLANS RBVIEW FBB <br /> <br />, <br /> <br />OWNER'S NAME &-/'t~J tI O":"/~"",..v <br /> <br />PHONE CONTACT <br /> <br />JOB SITE ADDRESS L 0 / <br /> <br />1/7 <br /> <br />-< (J -'<. ............-:11 /<1 v' ~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <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 />o INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />l!tMOBILE HOME <br />o OTHER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />/11. (-1 <br /> <br />5d <';C,' <br /> <br />SQU E FOOTAGE <br /> <br />BUILDING SIZE <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 />D ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />D PLUMBING <br /> <br />D MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: D 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 AREAD YES <br /> <br />D NO <br /> <br /> <br />BUILDER <br />SIGNATURE f:..A) 7--"~- <br /> <br />COMPANY 8..~ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # ~~ <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />1"...t..J~~-- <br /> <br />COMPANY P1~ -<-. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # 7f~ <br /> <br />SIGNATURE <br /> <br />w CY-~,;zo <br /> <br />****************************************************************** <br /> <br /> <br />COMPANY ./..z__/c:f~ <br />STATE CERT ORREGIST # <br />CITY PROCESSING # ~ <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br />COMPA-lIlY /1 ~ --- <br />STATE CERT OR REGIS~ <br />CITY PROCESSING # 7f~ <br /> <br />MECHANICAL <br /> <br />w~~S- <br /> <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />