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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 a~ STRBBT ZHPHYRHILLS. FL 335~O <br />PhoDfl,813-780-0020 Fax:B13-780-0021 r-/-;9-0 A <br />DATE RBCBIVBD . / _ _ ~ <br />PLANS RKVIBW J'IIB <br /> <br />OWNER'S NAMB Wa..~l'}~ ()... PHONE CONTACT <br />JOB SITE ADDRESS 3~ee~ ~O~ ~\J JL <br /> <br />LBGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />~N <br /> <br />[J ADDITION <br />D MOVE <br /> <br />D ALTERATION <br />D DEMOLISH <br /> <br />DREPAIR <br /> <br />D INSTALL <br /> <br />PROPOSED USB: DSGL FAMILY DWELLING <br />~ERCIAL <br /> <br />DMULTI - FAMIL Y <br />[] INDUSTRIAL <br /> <br />Oil OF UNITS <br /> <br />[] MOBILE HOME <br />D OTHER <br /> <br />[] SWIMMING POOL <br /> <br />DESCRIPTION OF <br /> <br />D RES1'AURANT & HSALTH DEPARTMENT APPROVAL <br /> <br />WOR< ~.Q.. <;\ ('~ a S\CL<\ S <br />--- $l~~GEIL)"~&- ~/~IG>> <br /> <br />ATTACH ~ PLOT p~ & (2) SETS OF BUILDING PLANS t:f (1') SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />[] BUILDING <br /> <br />ou . <br />{ fL, tJ ' PE~ITS REQUESTED <br />~ VALUATION OF TOTAL CONSTRUCTION <br /> <br />[] ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />,/ <br />/ <br /> <br />vi~/ -z-- <br />/ (;/?-f'O <br /> <br />[] PLUMBING <br /> <br />D MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />[] ROOFING <br /> <br />[] SPECIALTY <br /> <br />D OTfiER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br /> <br />Bt7ILDItR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />..~.*...*..*....**..**.......~**..*...*..*.*............w.*...*... <br /> <br />BLBCTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST ~ <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />.**.*.**.*~****.*.*******...*..*.**..*...*.*.*..***.*......*.****. <br /> <br />PLUMBIlR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />KBCIl:ANl:CAL <br /> <br />..**.A..*.....****.*.*..****.**..~*.*.****.**.*..*.***...*****.... <br /> <br />COMPANY <br />STATB CiRT OR REGIST # <br />CITY PROCESSING it <br /> <br />SIGNATURE <br /> <br />OTIl'BR <br /> <br /> <br />...*..*~.*...****.**.**.**..*..****... <br /> <br />COMPANY V mv I j W 9 J./ 5 / Iv L <br />STATE CERT em ~GIST it " va e-c 1{1.(.J <br />CITY PROCESSING # ~~ <br /> <br />................................~.~ .. ........ ..~ <br /> <br /> <br />,::1/;;-' <br /> <br />~iL . <br /> <br />, C 1\ <br /> <br />0-~~-,-I,rld,,1d:Z =1: <br /> <br /> <br />d <br /> <br />~I: <br />