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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />'7,- r,-O-3 <br />DATE RECE IVED , tZ5::. <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME ,ERJIJ~srf nlt-d'.d:c/l)!J- /JIA-Rf(t <br />JOB ADDRESS ~g;(3 ;4 Iii/. <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # /'1-:2fo-;l)- 00/0 - OtJ.=3LJ(J -co'll <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <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 />OCOMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOB ILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />A b (!;I!fV6'i. -01// <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 />VALUATION OF TOTAL CONSTRUCTION <br /> <br /> <br />o BUILDING <br /> <br />$1 <br /> <br />PERMITS REQUESTED <br /> <br />o ELECTRICAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />AMP SERVICE 0 FLORIDA POWER [J 'W.R.E.C. , <br /> <br />~~ ~7-.63""l.r ) <br />$ "lIS^ ~ '--~ ~ <br />~ ~ VALUATION OF MECHANCIAL I TALLATION <br /> <br />o PLUMBING <br />o MECHANICAL <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 AREAO YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />SIGNATUR <br /> <br /> <br />****************************************** <br /> <br />ELECTRICI <br /> <br />COMP AN Y Gig}? tJAJ/J?.&vTlfJ. do,{./J":' <br />STATE CERT OR REGIST # ~~~/~~~~ <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />******************************************** ******************* * <br /> <br /> <br />MECHAN1(:L ~ <br />STATE CERT OR REGIST <br /> <br />SI GNATUR H .~~.. H H. :~H" .~. H~::: .:::~:S.S. ::~. *. H' H. >H..... <br /> <br />COMPANY <br /> <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*********************************************************~******* <br />