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<br />OWNBlR I 8 NJ\1I1E <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br /> <br />SUILDING DBPARTMENT 5335 8~h s'rREET ZEPHYRHILLS, FL 33640 <br />PhoneI813-780-~020 Fax.813-780-0021 <br />DATB RBCEIVJ!JD <br />-~-..-~ <br />PLANS RJDVIEW J1'JIIl1i~_____ <br /> <br />//4/!.~ C~,J <br />S96Yb -r::#>/f5fi?~t: <br /> <br />LEGAL DESCRIPTION: 1.0'1'(8) B.OCK <br /> <br />PHONE CON'l'ACT <br /> <br />JOB 8ITE ADDRE8S <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED I DNEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />o AI. TERA TI ON <br /> <br />o REPAIR <br /> <br />~ INSTAlJL <br /> <br />Os IGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE I DSGL FAMILY DWELLING <br /> <br />OMULTI - FAMILY <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOB ILE HOME <br />o OTHER <br /> <br />[] CmiJMERC IAI, <br /> <br />o INDUSTRIAL <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />[JE8CRIP'l'ION OF WORK t, r ~ gO/?;zJ 0/-./ .l?O--f_fi7J F&>vC!d_ <br /> <br />9;2 / <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGH'l' <br /> <br />""'- <br /> <br />RESIDENTIAL I <br />COMMBlRCIAL: <br /> <br />ATTACH (:2) PLOT PLANS & (:2) SETS OF BtJIIJDING PLANS & (1) BElT ENElRGY FORMS, <br />ATTACH (3) SE'l'S OF BUILDING PLANS & (1) SET ENERGY FORMS, <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br />[] ELECTRICAL <br /> <br />$10(,/0.0 () <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E,C, <br /> <br />o PLUMBING <br /> <br />o MECHAN I CAI. <br /> <br />$-- <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />[] ROOFING <br /> <br />o SPECIAIJTY <br /> <br />[] OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />[] STEEL. <br /> <br />o OTHER <br /> <br />FINISHED FI,OOR EIJEVATIONS <br /> <br />IS PROlTEc'T IN FLOOD ZONE! AREAO YES <br /> <br />o NO <br /> <br /> <br />BUILDBlR COriJPANY ;;/}$(' 0 Fe ./lICtt' c <br />f () . STATE CERT OR REGIST #__ <br />8rGNATURE-1~ ~/~ CITY PROCESSING # ~7 <br /> <br />****************************************************************** <br /> <br />ELIIC'fRICIAN <br /> <br />S JGNATURE ___. <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMSBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAIJ <br /> <br />****************************************************************** <br /> <br />COMPANY <br />8TATE CERT OR REGIS'r # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**************************************~************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGrST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />