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<br />CITY OFZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />JOB ADDRESS <br /> <br />SM'-:\P <br />3'-1 J-<;:o <br /> <br />C;1T/~ if (]tdU~ <br />~ '~,c ~ <br />[;Nl 1)\ b~ <br />, <br /> <br />PHONE <br /> <br />788 "t,3S", <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />J 9..& ~.J <br /> <br />Ijt> I ~ <br /> <br />() /~ <:1.-1> R ()','r ""0 AX NOTICE) <br />- ~4~U ~~ ~ (OBTAIN FROM PROPERTY T ' <br />o ADDITION o ALTERATION l:(REPAIR 0 INSTALL <br />o MOVE 0 DEMOLISH <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o SIGN <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 />J OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />o RES TAU RAN, T & HEALTH OEPA~"R" OVAL <br /> <br />R~,olk< ~ ~ 'd 0/0..' <br />() jJ 3 f{}S' 1 <br />Llo SQUARE FOOTAGE ~ 00 <br /> <br />~ <br /> <br />BUILDING SIZE <br /> <br />L.( ~ -X <br /> <br />HEIGHT <br /> <br />/ <br />Q~ <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 CONSTRUCTIONo <br /> <br />7f;. - . <br />YJoof <br />;21 SOo N ,0," PERMITS REQUESTED <br /> <br />,- '): <br />""'- '- . ! '~ <br />:;;- -,. ) ." '.." l ~' VALUATION OF TOTAL CONSTRUCTION <br />/ ':; 0 AMP SERVICE )f FLORIDA POWER 0 W. R. E, C , <br /> <br />o BUILDING <br /> <br />o ELECTRICAL <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 ~ NO <br /> <br /> <br />BUILDER ~ <br />SIGNATURE L~': <br /> <br /> <br />/~ <br /> <br />COMPANY ~~ <br />STATE CERT OR REGIST # <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 />''', <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br />, <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**********************************************************J******* <br />