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<br />OWNElR'S NANE :5~k&.... 0~ <br />JOB BITE ADDRESS 3 i- 7 (? 5" 0 9~ I'(t./-e. <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th STREET ZEPHYRHILLB, FL 33540 <br />PhoneI813-780-~020 FaxI813-780-0021 <br />DATE RECBlIVID . <br />PLANS RBlVIBlW rIa . <br /> <br />---~- <br /> <br />......--- <br /> <br />PHONE CON'rACT <br /> <br />~ .. ~. ." <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />SUBDIVISION <br /> <br />WORK PROPSEDI ONEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTAlJI, <br /> <br />Os IGN <br /> <br />D MOVE <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />DMULTI - FAMILY <br /> <br />D# OF UNITS <br />DSWIMMING POOL <br /> <br />o MOB ILE HOMal <br />o OTHER <br /> <br />o COMMERCIAl, <br /> <br />o INDUS'l'RIATJ <br /> <br />DESCRIPTION OF WORK <br /> <br />o <br />crec. <br /> <br />RBlSTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~~ <br /> <br />SQUARE FOOTAGE <br /> <br />/50 /172 _-1-0 ~~np <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAl, : <br />COMMBlRCIAL: <br /> <br />HElIGH'f <br /> <br />ATTACH (2) PLOT PLM1S & (2) SETS OF BUIlJDING PLANS & (1) SET ENERGY FORMe. <br />A'fTACH (3) BE'fS OF BU!I..DING PLANS & (1) SET ENERclY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br />II ELECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE] <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />D PLUMBING <br /> <br />o MECHAN I CATJ <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAMEl <br /> <br />o STEEl.. <br /> <br />D OTHER <br /> <br />FINISHED Fr,OOR EIJEVATIONS <br /> <br />IS PROclECT IN FLoon ZONE AREAO YES 0 NO <br /> <br /> <br />BUUDIR. <br /> <br />CDtIJPANY <br />STATE CElRT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />II,ICTR I C IAN <br /> <br /> <br />****************************************************************** <br /> <br /> <br />COMPANY--P~~_ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />./ <br /> <br />PLtIMBBR <br /> <br />****************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNA'l'{JRE <br /> <br />MBCHANICAl.. <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CEJR'f OR REGIS'f # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**************************************.************************** <br /> <br />OTHBR <br /> <br />S I(3NATURE <br /> <br />COMPANY <br />STATE CERT OR REG 1ST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />-- <br />