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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 ~~I'~ tI~ <br />DATE RECEIVED---!€: ~ <br />PLANS REVIEW FEE <br /> <br />,JOB ADDRESS <br /> <br />rAIi"1....7 ;r11J1.."S/ PorG'iA /Z1;;rr,'~I'UV <br />S-Cj I ~ (Z"i ~ 5"1 ( 2CO~~rh; J 1'5 <br />I <br /> <br />PHONE <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />JI-~- Z l-CJO / 0- O'~ 7.-/)0 - ~("') 5"6tlBT.AlN FROM PROPEIITlJAiLl-lO.T.ICE) <br /> <br />WORK PROPSE:D: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />Os 1(;[1 <br /> <br />o t10VE <br /> <br />o DEt10LISH <br /> <br />PROPOSED USE: OSGL FAMILY D\^lELLING <br />DCOMMERCIAL <br /> <br />Ot1ULTI - F'At1IL Y <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br /> <br />o t10BILE Hot1E <br />,.8- OTHER <br /> <br />o SWIMtlING POOL <br /> <br />o RESTAURANT & HEALTH DEPARTt1EtlT APPROVAL <br /> <br />DESCRIPTION OF WORK J<';I,f.../HJL. A-vi /2<'LJlflfLe S {} G/'\....-{L) <br />, I <br />BUILDING SIZE SQUARE FOOTAGE ) 100 <br />. <br /> <br />1'1" T ,4" f K6'O F: N c,/ <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 />o ELECTRICAL <br /> <br />At-1P SERVICE <br /> <br />o <br /> <br />E'LORIDA POWER <br /> <br />o <br /> <br />~~ <br />~\\~ <br />\~\ <br />W.R.".C.~~~~~ <br />,-- ~ <br />\fl t'. <br />o ;.t. <br />.~ ~.,~~ <br />?~ 7~ <br />1~ ~ 'C <br />'"\,~ () t'" <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ riI ~ ~ t16 ,,.c <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o PLUM8ING <br /> <br />o MECHANICAL $ <br /> <br />VALUATION OF MECHANCIAL H1STALLATlON <br /> <br />o GAS ~OOFlNG 0 SPECIALTY <br />TYPE Of' CmlSTRUCTION: 0 BLOCK <br /> <br />o OTHER <br /> <br />o FRAt.1E <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />1S2-J"'J30 <br /> <br />F'INISHED FLOOR ELEVATIONS <br /> <br />I S PROJECT IN FLOOD ZONE AREA 0 YES <br /> <br />o NO <br /> <br /> <br /> <br />BUILDER <br /> <br />src3NATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****~****k*~*~******~~*~******~+++****~*******+************~****** <br /> <br />ELECTRICIJ\N <br /> <br />COMPAtrf <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************~***~~***~***********k**~************* <br /> <br />PLUMBER <br /> <br />COt'lPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURF: <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />Cot1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNl\TURE <br /> <br />*****~******.~**************************************************** <br /> <br />SIGNATURE; <br /> <br />~OfAJCJ <br />~ <br />$,.~~~, <br /> <br />COHPANY 5~t9rr- /""5Mcfp-{~ j!por~<./t;/ <br />STATE CERT OR REGIST # CCCOS7 tf'S'7 / <br />CITY PROCESSING # <br /> <br />OTHER <br /> <br />******************************+***************~*******~***'******* <br />