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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IVED t, - d..-5- (/ '3 <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME ~~ ~t! Ie! _ T C) & fha V?'1- ~ /ll~t' Me v <br />JOB ADDRESS s;; ()~ V/.);j to~"d sT /~ ;1-///-5 <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />PHONE )if.? P'Y:;?- /;:2.f' .;2- <br /> <br />SUBDIVISION ~ hJ1j/ '.kj' j 7'-5 <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />PARCEL 10 # <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 />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />6! .. <br />DESCRIPTION OF WORK ){;IL~/7 C)' ~ '7 r ~ ~d <br />9/ / ~ <br />BUILDING SIZE X / c::> 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 />0 BUILDING $ ~ rJ t1tJ. t?o <br />0 ELECTRICAL h " J1 E- <br /> o <br />0 PLUMBING n t' r! e- <br />O MECHANICAL $ <br />0 GAS o ROOFING o SPECIALTY <br /> TYPE OF CONSTRUCTION: 0 BLOCK <br /> FINISHED FLOOR ELEVATIONS <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 OTHER <br /> <br />.r.tl FRAME Cf' [B/ STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />~NO <br /> <br /> <br />BUILDER . <br /> <br />SlGNATU*~~~ t(/2kJ4/ <br /> <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />~UN/{ <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />