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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTIbnrr 5335 8th STRBET ZEPHYRHILLS, FL 33540 <br />PhoneI813-780-0020 FaxI813-780-0021 , I? ~ ()' . <br />DATE RBCEIVJm Z- 7 -I') ;;::> <br />PLANS RBVIBW FEE " <br /> <br />/I'l/ it - ct- ~~A <br />JOB SITE ADDRESS ~~~~ <br /> <br />OWNER'S NAME <br /> <br />U//Se1J <br />#H >hy>b", P'l. <br />d <br /> <br />PHONE CONTACT 7~~ff-2../ <br /> <br />SUBDIVISION J1/ ~ d~4Lr <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # ~-J.~'-.J..../- cY.1O _ <>600 acY.s{) <br />WORK PROPSED: $J.NEW CONSTRUCTION 0 ADDITION <br />oSIGN 0 MOVE <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: []SGL FAMILY DWELLING <br /> <br />[]MULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br />bt:.oTHER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ~UC-~'V ~~ CX~5~ pt/b:>c <br />BUILDING SIZE SQUARE FOOTAGE I/IL <br /> <br />~ <br /> <br />. <br /> <br />HEIGHT <br /> <br />" <br />,Il'.-/L / <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT <br />ATTACH (3) SETS <br />PROPERTY SURVEY <br /> <br />,6-BUILDING <br /> <br />$ <br /> <br />PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />If.~~~ ,- <br />PBRMITS RBOUBSTBDVW--- K q9/'J.- 11 j <br />/;1, 6'7,- VALUATION OF TOTAL CONSnp;C~)' <br />AMP SERVICE 0 FLORIDA POW~ 0 W . R. E . C . <br /> <br />[] ELECTRICAL <br /> <br />o PLUMBING <br /> <br />[] MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />DRooFING ~SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: [] 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 AREAD YES ~NO <br /> <br /> <br />::ff ~;F:~~~~S~~: <br /> <br /> <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBBR <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 />