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<br />LEGAL DESCRIPTION: LOT(S) <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTMENT 5335 8th STREE'f ZEPHYRHILLS, FL 33540 <br />PhoneI813-780-0020 FaxI813-780-0021 <br />DATE RECEIVJlID _____ <br />PLANS REVIEW FRE <br /> <br />() ..5'~ PHONE CONTACT <br /> <br />-:Z:~J ~ ~~g4 33~~~ <br /> <br />'70- BLOCK SUBDIVISION <br />r <br /> <br />I OWNER'S NAME 1-<) ..hll!~~ <br /> <br />JOB SITE ADDRESS /....; .L/ -:2- <br /> <br />PARCEL ID # <br /> <br />Os IGN <br /> <br /> (OBTAIN FROM PROPERTY TAX NOTICE) <br />o ADDITION o ALTERATION o REPAIR [] INSTALL <br />[] MOVE [] DEMOLISH <br />OMULTI -FAMILY 0# OF UNITS o MOBILE HotlJE <br />o INDUSTRIAL [] SWIMMING POOL [] OTHER <br /> <br />WORK PROPSED; [JNEW CONSTRUCTION <br /> <br />PROPOSED USE; [JSGL FAMILY DWELLING <br /> <br />[]COMMERCIAL <br /> <br />BUILDING SIZE <br /> <br />CJ RESTAURANT & HEALTH DEPARTMEN'r APPROVAL <br /> <br />~~~ <br /> <br />SQUARE FOOTAGE <br /> <br />DESCRIPTION OF WORK <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 BUnJDING 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 />~CJ-O. aD <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[] Fl.ORIDA POWER <br /> <br />[] W.R.E.C. <br /> <br />o PLUMBING <br /> <br />[] MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAI~ INSTALIJATION <br /> <br />[J GAS <br /> <br />o ROOFING <br /> <br />[] SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION; [] BLOCK <br /> <br />[] FRAME <br /> <br />[] STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES <br /> <br />[] NO <br /> <br /> <br />BUILDJlIR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />********************************************************k********* <br /> <br />ELBCTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />**k*************k************************************************* <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />*******k***********k********************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br /> <br />OTBBR~f d?__~ <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />