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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPART~NT 5335 8th STREET ZEPHYRHILLS, FL 33540 <br />PhoneI813-780-0020 FaxI813-780-0021 <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S <br /> <br />NAME (' CUD~ ;';;o~~\~~<-r <br />ADDRESS ::) I ~-bt..u:*:- <br /> <br />PHONE CONTACT 78:3 - /7 ]5- <br /> <br />JOB SITE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # \I-d-Ul-d-.\ - 801'0- O{$l\OO ~ODl/)O <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION 0 ADDITION o ALTERATION 0 REPAIR 0 INSTALL <br />DSIGN 0 MOVE 0 DEMOLISH ~...Q. -/\...~ Ob <br />PROPOSED USE: OSGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS 0 MOBILE HOME <br /> <br />o COMMERCIAL <br /> <br />o INbUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />1113 r1 <br /> <br />,-<J,~~ rv.-- - It ()01 / <br />o 'SQUARE FOOQAGE I <br /> <br />I D tlI.fR.- <br /> <br />{ki <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (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 />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$3.t..JJ3.0U <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />D ROOFING <br /> <br />o SPECIALTY <br />.. <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D ~LOCK <br />FINISHED FLOOR ELEVATIONS <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <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 />