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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTMENT 5335 8~ STRBBT ZBPHYRHILLS, FL 33540 <br />Phone:813-780-0020 Fax:813-780-0021 <br />DATB RECBIVED tf ~ I C(- () ::z <br />PLANS REVIEW FBB <br /> <br />~i--12ff' <br /> <br />OWNER'S NAME <br /> <br /> <br />I <br />e L i. C PHONE CONTACT <br />F(i ei..l) CldCs C!..-o. ]:n(. <br /> <br />JOB SITE ADDRESS <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 />D ADDITION <br /> <br />DALTERATION <br /> <br />DREPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />D MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />DMULTI - FAMILY <br /> <br />D # OF UNITS <br /> <br />D MOBILE HOME <br /> <br />D COMMERCIAL <br /> <br />D INDUSTRIAL <br /> <br />D SWIMMING POOL <br /> <br />D OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT <br />l(~ <br />/t1~, <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />ruVt <br /> <br />~h- (~ <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 />D 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 />D ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br /> <br />. <br /> <br />BUILDBR ./?~,~~ COMPANY tbl V~ <; of' 4b l/vt ~ .t-I7Yew~5 <br />~~ / ~ STATE CERT OR REGIST # Co 711f"- <br />SIGNATU~~ Ii -b... . CITY PROCESSING # c:>?97/ <br /> <br />****** ********************************************************* <br /> <br /> <br />BLBCTRICIAN <br /> <br />COMPANY (AM ,VIU< se NOII-€t-r(,r h;('Wtf';/IC5 <br />STATE CERT OR REGIST # ~, 714 C ' <br />CITY PROCESSING # c2 '9' 7/ <br /> <br />******************************************************** <br /> <br />PLUMBBR <br /> <br />COMPANY <br />STATE CERT OR REG 1ST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />