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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th STRBBT ZBPHYRHILLS, FL 33540 <br />Phone:813-780-0020 Fax:813-780-0021 <br />DATB RBCBIVED h -/7-0.3 <br />PLANS REVIEW FBB <br /> <br />OWNER'S NAME <br /> <br />L,^--,^- ~O~ V\\!~l\ <br />c501..~ ~~ <;"\: , <br /> <br />PHONE CONTACT <br /> <br />JOB SITE ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # II ~?-,.~ . ?..\~ 00\0- 1-\\00 _ OO~O <br />WORK PROPSED: DNEW CONSTRUCTION D ADDITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />~ERATION <br /> <br />DREPAIR <br /> <br />D INSTALL <br /> <br />DSIGN <br />PROPOSED USE: ~ FAMILY DWELLING <br /> <br />D MOVE <br /> <br />D DEMOLISH <br /> <br />DMULTI - FAMILY <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />DMOBILE HOME <br /> <br />D COMMERCIAL <br /> <br />. D INDUSTRIAL <br /> <br />D OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />{)p.ry...J~ ~ Q~~t:lu..l"8 <br /> <br />I SuA 5ev'''~c. e. <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 />PERMITS REQUESTED <br /> <br />D BUILDING <br /> <br />$ <br /> <br />D ELECTRICAL <br /> <br />ISo <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />~LORIDA POWER <br /> <br />D W.R.E.C, <br /> <br />D PLUMBING <br /> <br />D MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />D NO <br /> <br /> <br />BUILDBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />BLBCTRICIAN <br /> <br />SIGNATURE <br /> <br />- '\ ~ ~ \I\~e.J e. <br /> <br />COMPANY A.Q.~4R l?l-e.c.l:u.:1'....L ~c. <br />STATE CERT OR REGIST # t;:e. l~Ol ~ ~; <br />CITY PROCESSING # I'" &..1 ~ <br /> <br />****************************************************************** <br /> <br />PLUMBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />