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<br />~OLL~, <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ Street, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECEIVED ;;-- ,;LI-o_~ <br />PLANS REVIEW FliJi: <br /> <br />OWNER'S NAME M':-H.E'I cH,lC1;t-n...e V.?>'9.H,"'~ <br /> <br />PHONE <br /> <br />c::...----. <br /> <br />JOB ADDRESS )7'" () "7 Sf. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />~NSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />~OMMERCIAL <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 />DESCRI PTION OF WORK r IIrb II 8 \ rz"9' e It &01:1 <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. ~ ~ LV <br /> <br /> <br />PERMITS REQUESTE~~j ~~ <br />VALUATION OF TOTAL CONSTRUCT~ <br /> <br />$ <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />~~ <br />.rr <br />o W.R;1;t/1&~~ <br />INSTALLATION/1 0 tJ <br />'/ b <br />I <br />{ <br />i <br /> <br />o BUILDING <br /> <br />o PLUMBING <br />~MECHANICAL <br /> <br />$ <br /> <br />;U80~ <br />. <br /> <br />VALUATION OF MECHANCIAL <br /> <br />o GAS <br /> <br />o ROOFING <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 ~EGIST # <br />CITY PROCESSING # <br /> <br />/ <br />**********************************************7******************* <br /> <br />./ <br />COMPANY / <br />STATE CERT pR REGIST # <br />CITY PROCESSING # <br />/ <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />******************************************* ********************** <br /> <br />COMPANY <br />STATE C <br />CITY P <br /> <br /> <br /># <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br />~ . COMPANY c .+,.... t'''''<l<(-+Y r). c><.''f ~t'-I~{, I '1'" " <br />^- STATE CERT OR REGIST # CSCOo""'''ir <br />~ CITY PROCESSING # <br />'----rJ ~ ~ '5 to ~ 0 /-::-;- <br />************************************~*{***************2/7***~ <br /> <br />~ <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />