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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ STREET ZJlIPHYRHILLS, FL 33540 / <br />Phone:813-780-0020 Fax:813-780-0021 ....) /8/ oL. <br />DATE RECEIVlm ~ <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME p~ l lL.. . <br />JOB SITE ADDRESS ~ s.otS <br /> <br />~ \ ~ a.,A Q <br /> <br />~ ~ L ~ l... h, \ -\--<::.-~ <br /> <br />d~ <br /> <br />PHONE CONTACT ~ l3 - L 1 q -It s ~ ~ <br />L')-t-.~ \;C;~ <br />t='~~Y't" \~) ~\Y\+~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />J ADDITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br />PROPOSED USE:~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o RESTAURANT <br />DESCRIPTION OF WORK 7~~\ C) ..v <br />BUILDING SIZE \ \ 'I- d... \0 <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />R.()~ rr-.. k ~ /~ \ ~\ ~r-J <br />SQUARE FOOTAGE ~ -g ~ <br /> <br />HEIGHT <br /> <br />'K' <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 />o BUILDING <br /> <br />$ <br /> <br />PERMITS REQUESTED <br />q 5 v (::) -U-==- VALUATION OF TOTAL CONSTRUCTION <br />. <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 AREA 0 YES <br /> <br />o NO <br /> <br />.~ <br />~ <br />"t <br />"- <br />J <br />.... <br /> <br /> <br /> <br />,~ <br />@ <br />~ ~, <br />~" <br /> <br /> <br />COMPANY ~ c,\t / .C\ I v.,lIY'\' i lJ u. rv---. 'q.J G::, t"\ t. fT "''-^- <br />STATE CERT OR REGIST # C. R c:..,C) ~lt(t '& C') <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />BLBCTRICI~ <br />SIGNATURE' r ~ D r <br /> <br />~. <br /> <br />COMPANYVC>LO~ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <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 />OTRJlIR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />