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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />aUILDING DEPAR~~NT 5335 8~h Street, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECE IVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S Nl\ME <br /> <br />JA~ ~J <br />6Sft' <br /> <br />~;4 ,.L < 0/ <br />I <br />If ~./. 'V r W(JO.d <br /> <br />PHONE 78 c2 -Yf113 <br /> <br />,JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION S/(VIA. !htKS <br /> <br />BLOCK <br /> <br />PARCEL 10 # ~. <br /> <br />(OBTAIN FROM PROPE&TY TAX-NOTICEI <br /> <br />~10RK PROPSED: 0 NEW CONSTRUCT ION <br />Os IGN <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />~STALL <br /> <br />o !JJOVE <br /> <br />o DEt10IJISH <br /> <br />PROPOSED USE: OSGL F'l\MILY D~IELLING <br /> <br />OCOMMERCIAL <br /> <br />011ULTl -FM1ILY <br />o INDUSTRIAL <br /> <br />0# OF' UNITS <br />o SWIMHING POOL <br /> <br />o t10BILE Hot1E <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ RESTAURANT & HEALTH DEPARTt1ENT APPROVAL <br />~e. ~ <br /> <br />E y,'~ r, '"ve;. <br />/ <br />SQUARE FOOTAGE <br /> <br />V;(J~' r <br /> <br />BUILDING SIZE <br /> <br />HEIGHT <br /> <br />RES I DENTIAI,: <br />COMt1ERCIAL: <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 ELECTRICl\L <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />~CHl\NICAL <br /> <br />$ <br /> <br />2 lj r.$ ..ll. <br /> <br />. <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAB <br /> <br />o R001TltJG <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF' CONSTRUCTION: 0 BLOCK <br /> <br />o FRM1E <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR EL8VATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SI(~NATURE <br /> <br />******~*********************~*********~*******+**+~********++***** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST I <br />CITY PROCESSING # <br /> <br />SlGtm'J.'URE <br /> <br />***k*********~**************+***~****~**************************** <br /> <br />PLUMBER <br /> <br />COt-'JPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />********************************+**********JiI********jJ;************ ~ <br />MECHANICAL COMPANY lQ,.f'lA.. ~ "'~ANL GAS 2 ..TNc" <br />"..y- #. d / STATE CERT OR REGIST I C~U:'(JY..1'Y' <br />SIGNATURE ~ ~ p ~ CITY PROCF,SSING # I 7 <br /> <br />L* * * ** * * * * * * * * * * * ** * * *.. * * * * * * * * * * * * * * * * * * * *.. * * * * * * *.. .. * * * 'k * * *..".. <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**************************************+*******~***********'******* <br />