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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />aUILDING DEPAR~~N~ 5335 8th Street, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECE lVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME <br /> <br />:S-A~ <br />r;'6/~ <br /> <br />1-:~Brf3~v~) <br /> <br />T'N~ <br /> <br />,JOB ADDRESS <br /> <br />( ) ~ It \ \ 5 <br /> <br />PHON\~ '10 '1- q'tOb <br />,"33 Lf ;t <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPF,R.IY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />Os IGN <br /> <br />o t"lOVE <br /> <br />o DE~10LISH <br /> <br />PROPOSED USE: OSGL FAMILY DWF,LLH1G <br />'Rlcm1MERCIAL <br /> <br />Or1ULTT - FAttJILY <br />01 NDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMI'lING POOL <br /> <br />o ~10BILE HOME <br />o OTHER <br /> <br />CJ RESTAURANT & HF,ALTH DEPARTt1ENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />C? 'A S L ~ (I,) f <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COM~1ERCIAL : <br /> <br />ATTACH (2) t'LOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORtvJ.S. <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 />0 BUILDING .S <br />0 ELECTRICAL <br />J&J PLUMBING 3f ~ <br />o MECIIAtHCAL $ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W,R.E.C, <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o Gl\S <br /> <br />o ROOF'ItlG <br /> <br />o SPECIALTY <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 />nNIS!l8D FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br /> <br />aUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />******k**************~**********~+****~***********'k*************** <br /> <br />ELECTRICI1\N <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />**********************+k********k~***k***+*********************k** <br /> <br />SIGNATURF; <br /> <br /> <br />COtvlPANY <br />STATE CERT OR REGIST # <br />CITY PROC:ESSING # <br /> <br />7)eu 11 ,. 5> <br /> <br />WI'I!I~ J <br /> <br />PLUMBER <br /> <br />ME CH1\N I CJ\L <br /> <br />~*********************~***************~* <br /> <br />cm1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING . <br /> <br />SIGNATURE <br /> <br />*****~*k**********************************************~********** <br /> <br />OTHER <br /> <br />Cm'JPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br /> <br />~***************************k********}******* <br />