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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 RECE IVED <br />PLANS REVIEW FEE <br /> <br />......r <br />OWNERI S NAME 0b kltJ <br />,JOB ADDRESS '3 f},sy 1 <br /> <br />{ Lt.! /I <br />~&r <br /> <br />folK. <br />All <br /> <br />/ <br /> <br />-2e{Jh7/h,t&J <br /> <br />PHONE (cali) ~81{'-/72.J <br /> <br />fi- <br /> <br />LEGAL D~SCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br /> (OBTAIN FROM PROPEIUY TAX NOTICE) <br />o ADDITION OALTERATION ~REPAIR I!(H1STl\LL <br />o !J10VE 0 DE!10LISH <br />O!1ULTI - FAtIJI LY Oft OF UNITS o !10BILE Hot1E <br />o INDUSTRIAL o SWH1!1J.NG POOL o OTHER <br /> <br />WORK PROPS ED: 0 N8W CONSTRUCT ION <br />Os IGN <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />~COMMERCIAL <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ RESTAURANT & HEALTH DEPARTHENT APPROVAL <br /> <br />~/A'~ ~ I~~ H1JtJI Ra2~ .:f <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <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 />l,O()tJ. 00 <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />s <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R,E.C. <br /> <br />o PLlJ!.1FlING <br /> <br />o !1ECfll\N I CAL $ <br />o Gl\S ~OFING 0 SPECIALTY <br /> <br />Vl\LUl\TION OF MECHANCIl\L INSTl\LLATION <br /> <br />gvcc 0 <br />.-(o~0 1 <br />)1 _ {01 <br />){() ~ <br /> <br />TYPE OF' CO"lSTRUCTION: 0 BLOCK <br /> <br />o OTHER <br />ll1FRA!J1E <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />(eJ3) <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />I S PROJECT 1 N FLOOD ZONE AREA 0 YES <br /> <br />o NO <br /> <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNl\TURE <br /> <br />******~**~***********~*+**~*~*~**~****~*******~**+.~+*******+~**+** <br /> <br />ELECTRICI1\N <br /> <br />COMPAt)Y <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNl\TURE <br /> <br />********************************~****~*********~****************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />ME CHAN I CAT.. <br /> <br />**********"******************************"********************.* <br /> <br />Cot1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNl\TURE <br /> <br />**********************************************~***********~****y* <br /> <br /> <br />OTHER {l".MJ6- C:QIII(i <br />SIGNATURE -J'oJ,,; /<auo <br /> <br /> <br />Cot/]PANY All A M ~JttJlr-, :::r:-~. <br />STATE CERT OR REGIST # CC-(.....' O...~3 <br />CITY PROCESSING # <br /> <br />***************~*+***************~***********'******* <br />