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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th STREET ZEPHYRHILLS, FL 33540 <br />Phone:813-780-0020 Fax:813-780-0021 7_ ~/ /? '') <br />DATE RECEIVED 0<.1/ -c/ -< <br />PLANS REVIEW FBE <br /> <br />OWNER'S NAME ~C Jill;' . ~I'I (~~ <br />JOB SITE ADDRESS L c r /:'l~ <br /> <br />PHONE CONTACT <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />.- <br /> <br />J!',"~.i.J ~,~ I <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />Os IGN <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 />81fc5BILE HOME <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />ff4tt-I'"' /WtJ... ( <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 />o W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br />SIGNATURE f"J ~O~ <br /> <br />COMPANY <br />STATE CERT OR R <br />CITY PROCESSING <br /> <br />****************************************************************** <br /> <br />BLBCTRICIAN <br />SIGNATURE W.,.... <br /> <br />~ <br />IJ., <br /> <br />COMPANY At:..""- <br />STATE CERT OR REGIST # <br />CITY PROCESSING # ~ <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />w~ -l')~ <br /> <br />COMPi\NY ..)~iL2 <br />STATE CERT OR R GIST # <br />CITY PROCESSING # ;)..,;;:;1. 3 <br /> <br />PLUMBBR <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br />COMPANY . ~~ <br />, <br />STATE CERT OR REGIST # <br />CITY PROCESSING # ~ <br /> <br />w~~ <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />