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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 />/ _ LL-Q3 <br />DATE RECE IVED fk!. +-- <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME (,../l.A,vJ JI 011 ;(.0,1.J <br />.- _ 3~r'/~3'fJ.) I< <br />JOB ADDRESS L Cl J '-/Y.,.l 'i.) ~,,, "<.'--' ""'" <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />1Ac...J~ <br />SUBDIVISION G--.n~ J /I~,n/:".A. <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />DSIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION o ALTERATION o REPAIR o INSTALL <br />o MOVE 0 DEMOLISH <br />DMULTI-FAMILY 0# OF UNITS ~E HOME <br />o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />)VJ,tf <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RES I DENTIAL: <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 />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF <br /> <br />o r~--C-\ <br />/ ( '. l") I 19 <br />MECHANCIAL INSTALL4TION etI cJ-..- .- <br />~ ~/,-, <br /> <br />...,.,.-.,.--.---- <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE 0 <br /> <br />FLORIDA POWER <br /> <br />) <br /> <br /> <br />// <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 AREAD YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br />SIGNATURE (A.J, o;r-/l~i/ <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />w~~ <br /> <br />COMPANY /7 c.. <- <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />ELECTRICIAN <br /> <br />PLUMBER <br /> <br />****************************************************************** <br /> <br /> <br />COMPANY o4t <br />LJ /'_ ~ STATE CERT OR REGIST # <br />~ CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br />COMPANY ~c.. --- <br />~ STATE CERT OR REGIST # <br />VJ l;1 --Ll. CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************~*****************************************'******* <br />