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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 Sth STREET ZEPHYRHILLS, FL 33540 <br />PhoneISI3-780-0020 FaxI813-780-0021 <br />DATE RECBIVJlID ______ <br />PLANS RBVIBW FEE <br /> <br />I OWNER'S NAME---.n-mu 1<1. CA.,..,ERoN <br />JOB SITE ADDRESS 3 Sl s 4.5 C! AVE/lLf,.te <br /> <br />PHONE CONTACT <br /> <br />?~A~tI-& R:. <br /> <br />~3S-~2- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />(OtlTAIfl FROM PROPERTY TAX NOTICE) <br />OALTE~tfo1f; 0 REPAIR ~STALL <br /> <br />OSI~ <br />PROPOSED USE: ~L FAMILY DWELLING <br /> <br />o MOVE <br /> <br />o DEMOLI SH <br /> <br />OMULTI -FAMILY <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE 'HOME <br />o OTHER <br /> <br />o COMMERC IAL <br /> <br />o INDUSTRIAL <br /> <br />o RESTAURANT & HEALTH DEPARTMEN'r APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />rA..c'i4H 9' ~H~N; L.H?K rl5"~ <br /> <br />.J( 203 I <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 BUIl~DING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL, NEW CONSTRUCTION. <br /> <br />o BUILDING <br /> <br />$ <br /> <br />lJt1 <br />750,- <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FI,ORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />[J PLUMB ING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALI,ATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />'I'YPE 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 0 NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />BLBCTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SlGNATURE <br /> <br />MBCHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />,c~ <br /> <br />SIGNATURE .. <br /> <br />OTHER <br /> <br />***************************************************************** <br /> <br />COMPANY #.4e77p/v' FENCE eG', <br />STATE CERT OR REGIST # ~D205b'(OOI9? <br />CITY PROCESSING # ;2 9/'.'7 <br />