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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION
<br />BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542 h k
<br />813-780-0020 FAX:813-780-0021
<br />DATE RECE IVED .s Z.:J. ~.J
<br />PLANS REVIEW FEE
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<br />OWNER'S NAME 'l"lJ___"Jj< ,,' ~ . V' /') .',,-'J A"(.)!(
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<br />JOB ADDRESS ,'_.,-( '? " ., , ',. _'....':PI., A;"h.....t.......<;
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<br />PHONE c,~ I ") ..
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<br />LEGAL DESCRIPTION: LOT(S) .ftf/~,~i
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<br />BLOCK
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<br />SUBDIVISION
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<br />PARCEL 10 #
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<br />
<br />(OBTAIN FROM PROPERTY TAX NOTICE)
<br />
<br /> DNEW CONSTRUCTION ,/
<br />WORK PROPSED: o ADDITION DALTERATION Gr'REPAIR o INSTALL
<br /> ~~GN o MOVE 0 DEMOLISH
<br />PROPOSED USE: DSGL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOBILE HOME
<br /> ~MERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER
<br />
<br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
<br />
<br />I
<br />DESCRIPTION OF WORK (I
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<br />
<br />BUILDING SIZE
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<br />--;.;. '10' - i ~\
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<br />, ,,'
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<br />SQUARE FOOTAGE, ( {' ,"
<br />
<br />HEIGHT
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<br />J....
<br />o
<br />
<br />
<br />ATTACH (2) PLOT
<br />ATTACH (3) SETS
<br />PERTY SURVEY
<br />VIEWED
<br />
<br />o ELECTRICAL
<br />
<br />,(:,
<br />
<br />PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
<br />OF BUILDING PLANS & (1) SET ENERGY FORMS.
<br />REQUIRED FOR ALL NEW CONSTRUCTION.
<br />
<br />~
<br />~RMITS REQUESTED ~~
<br />
<br />VALUATION OF TOTAL CONSTRUCTIO~~q)
<br />AMP SERVICE Cl FLORIDA POWER 0 '\..~...
<br />
<br />
<br />VALUATION OF MECHANCIAL INSTALLATION ~~~~
<br />~~~%
<br />
<br />o OTHER
<br />
<br />RES I DENTIAL:
<br />COMMERCIAL:
<br />
<br />o BUILDING
<br />
<br />$
<br />
<br />"
<br />
<br />o PLUMBING
<br />o MECHANICAL
<br />
<br />$
<br />
<br />I','"
<br />/~ t i-- .'~ ,,'- . .
<br />
<br />o GAS
<br />
<br />o ROOFING
<br />
<br />o SPECIALTY
<br />
<br />TYPE OF CONSTRUCTION: [W13LOCK
<br />
<br />o FRAME
<br />
<br />o STEEL
<br />
<br />o OTHER
<br />
<br />IS PROJECT IN FLOOD ZONE AREAD YES
<br />
<br />~O
<br />
<br />FINISHED FLOOR ELEVATIONS
<br />
<br />
<br />BUILDER
<br />
<br />f i~"
<br />
<br />COMPANY
<br />STATE CERT OR REGIST #
<br />CITY PROCESSING #
<br />
<br />SIGNATURE
<br />
<br />"
<br />
<br />******************************************************************
<br />
<br />ELECTRICIAN
<br />
<br />,
<br />
<br />SIGNATURE ltc'"
<br />
<br />." )..
<br />
<br />",>.<J:'...-~:.
<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 />I
<br />,/ MECHANICAL
<br />
<br />******************************************************************
<br />
<br />SIGNATURE
<br />
<br />f. I"
<br />it:"'"'''' /\ " ',,,'/.",.:,t-\
<br />
<br />COMPANY
<br />STATE CERT OR REGIST #
<br />CITY PROCESSING #
<br />
<br />*****************************************************************
<br />
<br />OTHER
<br />
<br />COMPANY
<br />STATE CERT OR REGIST #
<br />CITY PROCESSING #
<br />
<br />SIGNATURE
<br />
<br />*****************************************************************
<br />
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