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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />8UILDING DEPAR~~NT 5335 8th Street, Zephyrhills, FL 33542 <br />813-780-0020 FAX:B13-7BO-0021 <br /> <br />OWNER'S NAME <br /> <br />~Q -&YO-.. <br />SBO<"l <br /> <br />jtA.-r( ~ \ \ <br />\~~ &\ <br /> <br />DATE RECE IVED {:> - / O-..~ <br />PLANS REVIEW FEE l'p /7~ <br /> <br />PHONE II ~ - ~caen <br /> <br />,JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOC K , <br /> <br />PARCEL ID # -& &'-0 - d \ ~ a~ \() .. ~ -:sc:o r()O~O (OBTAIN FROM PROPERTY TA.iL,NOTICE \ <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: 0 NEW CONSTRUCT ION <br />OSI(;N <br />PROPOSED USE:~GL FAMILY DWELLING <br />OCm1MERCIAL <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o !'-10VE <br /> <br />o DEMOLISH <br /> <br />o BUILDING <br /> <br />.$ <br /> <br />d~.~ <br /> <br /> <br />OMULTI-FMHLY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br /> <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ~ \~ ~ S-~ <br />BUILDING SIZE SQUARE FOOTAGE <br /> <br />// <br />/ <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT <br />ATTACH (3) SETS <br />PROPERTY SURVEY <br /> <br />PERMITS REQUESTED <br /> <br />VALUATIOn OF TOTAL CaNST <br /> <br />o ELECTRICl\L. <br /> <br />AMP SERVICE <br /> <br />o FLORI DA POWER <br /> <br />o <br /> <br /> <br />, <br />, <br />/' <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOF'ING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRA!1E <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISfl8D FLOOR ELEVAT rOt,ls <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br /> <br />8UILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />......,.....,..................................................... f~f~ <br /> <br /> <br /> <br />V <br />. ./ <br /> <br />CO!'lPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br /> <br />ELECTRICIl\N <br /> <br />~**~*************************************~********************** <br /> <br />PLUM8ER <br /> <br />COMPANY <br />STATE CF,RT OR REGIST ,IV: <br />CITY PROCESSING # / <br /> <br />SIGNATURE <br /> <br />MECHANIC1\L <br /> <br />*~****~******~************************************. *************~* <br /> <br />C0!1PANY <br />STATE CERT OR REGIST # <br />CITY PROCES. NG # <br /> <br />SIGNATURE <br /> <br />OTIIER '\2",(')S~ c 0" -\y 0- "'\X COMP MIY SC c5'2\ ~ ~ ~ v-..o.~ :\kf;" J <br />o c-' {::} ~ 1\, ST, ATE CERT OR REGIST # ~C' C' ()~"? ~S'l <br />SIGNATURE ~lIl. .00-- L. ~~;! 1... . CITY PROCESSING # --7, <br /> <br />· H H.. H H H H H H.. H H H.. H'H' H. HH7&HH. ,'. H"H <br /> <br />*****~***k*****************************************************~* <br />