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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECE IVED S - c:<! - D3 <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAM~~~ry~r-: ~,tiIver PHONE 'i?1~-115.44V> <br />JOB ADDRESS_--,'5~_ .~_l_ -1 3354Z- <br />LEGAL DESCRIPTION: LOT (S) 1'5 f llo BLOCK CI-t SUBDIVISION MOOve16 F7("sf~ <br />PARCEL ID # \4 J..<R on r.OlO 0 ?1l\.OtJ 0 l So cot- () lS" (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPSED: ONEW CONSTRUCTION 0 ADDITION OALTERATION 0 REPAIR EiY'i'NSTALL <br /> <br />OSIGN <br />PROPOSED USE: ~L FAMILY DWELLING <br />OCOMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK Cevt-tr-o-..l ~ T A \ ( at '/2-- ~ lln ~--\- <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />OW. R. E . C . / -~. -~'-"'\ <br />// /) fJc;O ,/ <br />/. cr / <br />I NSTALLA1'ION L// <br /> <br />o PLUMBING <br />~ECHANICAL $ <br />o GAS 0 ROOFING <br /> <br />I; ED 0 <br /> <br />VALUATION OF MECHANCIAL <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 />BUILDER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />************************************************************ <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER j)-enn~ ~ Mac Lea.l/') <br /> <br />COMPANY <br />STATE CERT OR REGIST # C A ('Oc::::..f5~o() <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />