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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPAR1~NT 5335 8th Street, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECEIVED----_________ <br />PLANS REVIEW FEE <br /> <br />OWNER'S Nl\ME~4'V tJ~-~ <br />,JOB ADDRESS r; 0,,3 ( G ~ h I vef . <br /> <br />PHONE <br /> <br />LEGAG DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # ______ <br /> <br />(O.B.TA.IN (ROM PROPERT.): TAX NOTICE) <br /> <br />WORK PROPSED: 0 NEW CONSTRUCT ION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSI(;t'l <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />OCm1MERCIAL <br /> <br />OMULTI-FMHLY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWH1tHNG POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ RESTAURAHT & HEALTH DEPARTt1ENT APPROVAL <br /> <br />.~1ld8 ~M <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />0 BUILDING <br />0 ELECTRICAL <br />0 PLUMF3I N(; <br />0 MECHANICAL <br /> <br />$ <br /> <br />VALUATIOt-l OF TOTAL CONSTRUCTION <br /> <br />AtvlP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W,R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o Gl\S <br /> <br />o ROOFHIG <br /> <br />o SPECIl\LTY <br /> <br />o OTHER <br /> <br />TYPE OF' CONSTRUCTION: 0 BLOCK <br /> <br />o FRAt1E <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 tlO <br /> <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGW\TURF; <br /> <br />******~**k***********4*~*+****~**~************+***,~********.~~**+** <br /> <br />ELECTRICIAN ~ <br />SIGNATURF0d~~/ ~ <br /> <br />COtvlPAtly <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />*****************************~**~~******~*~****~***************k** <br /> <br />PLUMBER <br />SIGNATURE J <br /> <br />COMPANY <br />C1 \:L I' \ ~ ~ , STATE CERT OR REGIST # <br />~~V-;. {'-'~ elL{ PROCESSING # <br /> <br />*********** ****************************************************** <br /> <br />MECHANICAL <br /> <br />SIGNATURE X <br />/ \ <br /> <br />~w~ <br /> <br />Cm1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />*******k*k*******************************************_~*********** <br /> <br />OTHER <br /> <br />SIGNATURE; <br /> <br />Cot'lPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***********~********~****~****4******~********+*+*********"******* <br />