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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th STREE'r ZEPHYRHILLS, FL 33540 <br />PhoneI813-780-0020 FaxI813-780-0021 <br />DATE RECEIVED ______ <br />PLANS RBVIEW FBE <br /> <br />, V ( l / I ,) PIIONE '-'ON'fAC1' <br />OWNER'S NAME 11\1< t ;1\r,:,<:;, 1\1 }\\-'\ -e. ,'Onl\',"""\ \"\..c\4.. '-- <br />JOB SITE ADDRESS .5-(..:A,~ ~1fA~ di- "!Jr/~, 3~!:T'f-,2 <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br /> <br />0060~CJJ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o Al/fERATION <br /> <br />o REPAIR g INSTAJ~l, <br /> <br />~~f~ <br /> <br />DSIGN <br /> <br />D MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br /> <br />OMULTI - F'AMIL Y <br /> <br />0# OF UNITS <br />'gfSWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o RESTAURANT & HEALTH DEPARTMEN'r APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />HEIGUT <br /> <br />A1'TACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUIIJDING 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 />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELEC'l'RICAL <br /> <br />AMP SERVICE <br /> <br />o FI,ORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALIJATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE 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 <br /> <br />o NO <br /> <br /> <br />BUILDB. ~ #7 <br />SIGNATURE. -::3:.~.. t::!.,!!:. ~."..,...,.,.....,.,",."..,.....,..., , <br /> <br />BLBCTRICIAN <br />SIGNATURE \~ D Y D- <br /> <br />COMPANY rEL F~I..- <br />STATE CERT OR REGIST # <br />CITY PROCESSING # lOl", <br /> <br />****************************************************************** <br /> <br /> <br />PLUMBER <br /> <br />COMPANY Cnop~E SW~"'''''-ln1 '-.pDt')~__ <br />STATE CERT OR REGIST # {~f i703~~i)'7 <br />CI1'Y PROCESSING # cJ 9"&:;- <br /> <br /> <br />MECHANIC L <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />OTHIIR <br /> <br />#v~- <br /> <br />***************************************************************** <br /> <br />COMPANY ~.I~ ~ <br />STATE CERT OR REGST #~~/ <br />SIQNAI'~ CITY PROCESSING # 6'~ _~ <br /> <br />- . ......................................,........ ,....:........... <br />