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<br /> <br />CITY OF ZEPHYRHILLB PERMIT APPLICATION <br />BUILDINQ DBPARTMENT 5335 8th STREET ZBPHYRRILLS, PL 33540 ~ <br />Phone.813-780-0020 Fax.81J-780-0021 ~ <br />DATE RECEIVBD tl- - .J., f - <::>"L- <br />PLANS RBVIBW PEE _.__._____ <br /> <br />PHONE <br /> <br /> <br />JOB SITE ADDRESS <br /> <br />u 1<- <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # j-eJ040-d4/tlt1_CJo"o <br /> <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />[JALTERATION <br /> <br />[J REPAIR <br /> <br />o INSTALL <br /> <br />[JSIGN <br /> <br />[JMOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br /> <br />[JMULTI - FAMILY <br /> <br />0# OF UNITS <br />[] SWIMMING POOL <br /> <br />~BILE HOME <br />o OTHER <br /> <br />[] COMMERCIAL <br /> <br />[] INDUSTRIAL <br /> <br />DESCRI PTION OF WORK /}J () tf:, ~ L <br />. <br /> <br />BUILDING SIZE /d.~ <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />M/t1fE ~CH~r. <br />SQUARE FOOTAGE j?~ <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 />[J BUILDING <br /> <br />$ '/.;)7 l.J <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />100 <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />[J PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[] GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />[J 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 />~UILD~ <br /> <br /> <br />****************************************************************** <br /> <br />COMPANY 'S'7"""~./.LJv "J"f- ;;H f1cJ 1<; /<. 2. Ad" "..~ <br />STATE CERT OR REGIST # 'Wt:JoOO 57 d <br />CITY PROCESSIN~ cEo I <br /> <br />BLBCTRICIAN <br />SIGNATURE ~~ G R.- <br /> <br />~ ' <br />SIGNAT~~ <br /> <br /> <br />. ****************************************************************** <br /> <br />****************************************************************** <br /> <br />COMPANY FEE. E.l..E.C.:rR..IL. <br />STATE CERT OR REGIST # 'E-f<.C0C4bYO <br />CITY PROCESSI~. \0<.0 <br /> <br />COMPAN~S'r~......--- J-~ Z~",e;1L ..z::.....ShLcL____ <br />STATE CERT OR REGIST # :Z:-,4., 0.. or,o <br />CITY PROCESSING # <br /> <br />MBCHANICAL <br /> <br />SIGNATURE ~ ;.,c" /-)-0 c...U ~.Iw I "-r- ...::> <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />OTHBR <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />