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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />aUILDING DEPAR1~NT 5335 8th Street, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 / ~/. "1 ~o3 <br />DATE RECElVE~ ---- <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME ;(fll;!,rTl!. IfE A!;./ER <br />JI <br />,JOB ADDRESS \.55% /0"1:- ~REET <br /> <br />PHONE C8;;3)7'1r~ 7066, <br />. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCF,I, ID # /I-~~/- 00/0 - /0 :30D - 0/70 <br /> <br />(OBT1HN FROM PROPEB.:n:__J.1UL1:iQTICEl <br /> <br />WORK PROPSED: 0 NEW CONSTRUCT ION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />Os IGN <br /> <br />o t-10VE <br /> <br />o DEt10LISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />Dt1ULTI - FAtlILY <br />o INDUSTRIAL <br /> <br />o II OF UNITS <br />o SWIMtlING POOL <br /> <br />o t10BILE Hot1E <br />o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTt'lENT APPROVAL <br />DESCRIPTION OF WORK Je/;R of;: UOJ/ p/VWTXJP t5Acry-~.54{itJ<:7/E. <br />/ I ~ <br /> <br />~a~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RES IDENTIAL: <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 />o BUILDING <br /> <br />of? <br />$ b45'. <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELEC1'RICl\L <br /> <br />AtvlP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o vLR.E.C. <br /> <br />o PLUMBING <br />o MECHANICAIJ <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLA1ION <br /> <br />o Gl\S <br /> <br />Er;;JOFlNG <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 />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br />III,IM <br />t'.tyf',f\ f:::'~,';:.> i~:lir!; '1 <br /> <br />BUILDER COMPANY OWI7E1? <br />t;' ~/1I~j;J ~""4A~ STATE CERT OR REGIS'!' 11 <br />SIGNI\TURV,.".....-.~ ~,v''-G/V' CITY PROCESSING 11 <br /> <br />***********~*********~****************~***********,~*************** <br /> <br /> <br />SIGNA'fURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />ELECTRICI1\N <br /> <br />***~********~***************~+**~~***~**************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />PLUMBER <br /> <br />SIGNATURF, <br /> <br />****************************************************************k* <br /> <br />MECHANICAL <br /> <br />SIGNI\TURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING 11 <br /> <br />*******k********~**~'k****************************+******k***k**~* <br /> <br />OTHER <br /> <br />COMPANY <br />STI\TE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*******************k**************************~*******~***.******* <br />