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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPAR~NT 5335 8th STRBBT ZBPHYRRILLS, FL 33540 <br />Phone:813-780-0020 Fax:813-780-0021 <br />DATB RBCBIVBD .-~- 30 -0.::2-.- <br />PLANS REVIEW PRR <br /> <br />OWNER'S NAME C-(L,<>pNJ /-fvA'("\..<J....J <br />JOB SITE ADDRESS L.... T 101 <br /> <br />PHONE CONTACT <br /> <br />L. "f,...J J (.y <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />[J ADDITION <br /> <br />[J ALTERATION <br /> <br />[JREPAIR <br /> <br />[J INSTALL <br /> <br />[JSIGN <br /> <br />[JMOVE <br /> <br />[J DEMOLISH <br /> <br />[J COMMERCIAL <br /> <br />[JMULTI-FAM1LY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />~ILE HOME <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br /> <br />[JOTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />Iv, I If <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 />[J BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[J ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />[J W.R.E.C. <br /> <br />[J PLUMBING <br /> <br />[J MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES <br /> <br />[J NO <br /> <br /> <br />COMPANY /1~ <br />STATE CERT 0 REG 1ST # I <br />CITY PROCESSING # ~~ <br /> <br />****************************************************************** <br /> <br />BLBCTRICIAN <br />SIGNATURE G,.) ~11~7 - <br /> <br />COMPANY /I II!:. C- <br />STATE CERT OR REGIST # <br />CITY PROCESSING # .f~ <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />Wvy-~) <br /> <br />COMPANY ~~7 <br />STATE CERT OR REG 1ST # <br />CITY PROCESSING # <br /> <br />PLUMBBR <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br />COMPANY J4c. ~ <br />~ STATE CERT OR REGIST # <br />~ <'Y-----; ... - CITY PROCESSING # /91 <br /> <br />***************************************************************** <br /> <br />MBCRANICAL <br /> <br />OTHBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />