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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ Street, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021J <br />DATE RECEIVED L( 1 ne~ <br />PLANS REVIEW FEE <br /> <br />3D,oYn3 <br /> <br />LEGAL DESCRIPTION: LOT(S) \\ -to lL..j <br />)(PARCEL 10 # -LJ - a(O - cl \ - en \0 <br /> <br />/OWNER'S NAME C, \,Z-OJ:-:>e+h e. GXLv1S PHONE(~I~ 59;1-1 - Y9.<.ro <br />'JOB ADDRESS 5CS.?:o \O:!:b S+. 7 e rh~rh'dI5, FL 3~5LJO <br />BLOCK \ O:~ SUBDIVISION {' i4-." ~ Zr ~~'(hi \\S <br />, <br />\ o?1D- 01 \()(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />DCOMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF ~ORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />~o..nrh S~e' <br /> <br />~e(Y'P.-l 11)/ ~ld"" ;l ~ l 0 <br />, <br />SQUARE FOOTAGE ~ <br /> <br />brnrdS <br />HEIGHT ~ <br /> <br />BUILDING SIZE <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 />~BUILDING <br />o ELECTRICAL <br /> <br />$ ~(X), 00 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />(5/'3 ') <br />:;< r;/-7~ 7'1 <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <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 /> <br />BUILDER ~ <br />SIGNATURE~:"" . <br /> <br />~ <br /> <br />COMPA~ <20 ;~O)(>-j- ~ ~, €' A JT1.1V\ .a) <br />STATE ERT OR 1ST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <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 />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />