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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTIbnrr 5335 8th STRBET ZBPHYRHILLS, FL 33540 <br />PhoneI813-780-0020 FaxI813-780-0021 ~_~/_~" <br />DAT!: RBC!:IVBD L" ~ vo( <br />PLANS RBVIBW FEE ' <br /> <br />OWNER'S NAME k'P~~;//(- .~ ~;2>>,~ ~ C=-- <br />JOB SITE ADDRESS '7 330 ~ # Sf. ", <br /> <br />PHONE CONTACT <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: ;l9NEW CONSTRUCTION <br />OSIGN <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br /> <br />OMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />~ OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK .I" '1<1-1 <br />BUILDING SIZE /t'lLI <br /> <br />c~..er <br />SQUARE FOOTAGE :1 3 C <br /> <br />J'/I/ <br />HEIGHT (J <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 />o BUILDING <br /> <br />$ <br /> <br />/9tF7 C/:: <br /> <br />r <br /> <br />VALUATION OF TOTAL CONSTRUCTION <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 % SPECIALTY <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o OTHER <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />Or OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />~ <br /> <br />[lr"f:"Q"""qfrl'l'IflITIJr~"i1!ITrn~.1"'m;m""ln'~n\ffn:!lITmM - . - - . ~ - . - ~~'Il""_""l'.!:!+i.IT!}"E"~ - <br />,,~I1tll[j:'fl!j !~i!!lj:nlr;!;~ ,~+ :~~!;:P':F!:!; ,~!:*!~JjfH"I~"::Ji:4:>' ;:'1,;1 ,_.." ~_ ,",. _...., '''~_" ",.., !:!f~~!jIffl~~~j~, 3 ,.,,~IL~ .,..~~I~~3."I;,"j~;1 " <br /> <br />BUILDER ,/ --::i\ COMPANY ~~ ~J...~. <br />~F.'//~'-"" STATE CERT OR REGI # 'A700JYLy/ <br />SIGNATU~~ CITY PROCESSING # /6"YV <br /> <br />*******************************************************:********** <br /> <br />ELECTRICIAN <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 />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />