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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ STREET ZEPHYRBILLS, PL 33540 <br />Phon.:813-780-0020 FaxI813-780-0021 1-~/OI) <br />DATE RECEIVED 0 r- <br />PLANS REVIEW PEE <br /> <br />OWNER'S NAME j(J,tu'1l1 <br />JOB SITE ADDRESS ,?9(b2. <br /> <br />C-2DR/1 <br />9'tIJ;I4U' <br /> <br />PHONE CONTACT 7F~ ~ 2J C <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />.:z? <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />c:8()D <br /> <br />PARCEL ID # <br /> <br />;;... -,2,C ': ,.)...,; . oYW <br /> <br />~,;)o <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED:~EW CONSTRUCTION <br />DSIGN <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: (JSGL FAMILY DWELLING <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />(J MOBILE HOME <br />kOTHER <br /> <br />. o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK S~ <br />BUILDING SIZE al-tf'6<r 7' /,c/6''/ <br /> <br />z9c~~ ~ <br /> <br />SQUARE FOOTAGE n:7 <br /> <br />HEIGHT <br /> <br />// <br /> <br />/ <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: 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 />~b?O <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCI~L INSTAL~.TION <br /> <br />o GAS <br /> <br />o ROOFING )9 SPECIALTY <br />TYPE OF CONSTRUCTION: 0 BLOCK 0 FRAME <br />FINISHED FLOOR ELEVATIONS ~~ <br /> <br />o OTHER <br /> <br />o STEEL <br /> <br />':r:J OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />~NO <br /> <br /> <br />BUILDER ~ Ref fl,4./lor COMPANY V , <br />./ ;0 ./ STATE CERT OR REGIST # #" C:a?jLJ.. <br />SIGNAT9RE J (f- ~ ).7?f CITY PROCESSING # /6~ <br /> <br />~-- - ****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <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 />***************************************************************** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGrST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />