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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br /> <br />BUILDING DEPARTMENT 5335 8th STREET ZBPHYRHILLS, FL 33540 <br />PhoneI813-7BO-0020 FaxI813-780-0021 <br />DATB RBCBIVJlID ______ <br />I?I,ANS RBVIBW FBE <br /> <br />.. <br /> <br />OWNER'S 1,:tAME <br /> <br />DE iJAJ J S /Y7 ,fYJ ; ,077J,J <br />/i6:J-q UfRrC &u~r <br /> <br />PHONE CONTACT f!3 - 78)--'7397 <br />ZtfJ/rfijR I/-,/is f! 33SLf/d. <br /> <br />JOB SITE ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) Jj BLOCK <br />PARCEL ID # 'l- -)t, - J( - CJJ} () - {J()&()O - tJt30 <br /> <br />SUBDIVISION <br /> <br />5W5t.1" l:STItTf5 <br /> <br />(OBTAIN F'ROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />[JALTERATION <br /> <br />D REPAIR <br /> <br />INSTAIA, <br /> <br />Os IGN <br /> <br />o MOVE <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br /> <br />[JMULTI - F'AMIL Y <br /> <br />0# OF UNITS <br /> <br />[J MOBILE HOME <br />rz;rc;;UER <br /> <br />D COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />DESCRIPTION OF WORK~ST~i( <br />3fr )C lOfT <br /> <br />D RESTAURANT & HEALTH DEPARTMEN'r APPROVAL <br />fx/o <br /> <br />ItLulV/) J1) UIY/ j JiJiCA ~ Au J Lv J~'rJ <br />go HEIGHT <br /> <br />/()~~'I <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <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 />~JILDING <br /> <br />.-. &0 <br />$\!/KO .- <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONS'l'RUCTION <br /> <br />[] ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[] FI,ORIDA POWER <br /> <br />[] W.R.E.C. <br /> <br />[J PLUMBING <br /> <br />[J MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />[] OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />[] FRAME <br /> <br />[J STEEL <br /> <br />~HER <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES <br /> <br />~ <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />SIGNATURE <br /> <br />~ 11. .IY)~ <br /> <br />COMPANY U lIJ tV r;=;e <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />BU1LDBR <br /> <br />****************************************************************** <br /> <br />BLBC'fRICIAN <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 REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />