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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 />DATE RECEIVED 7-11-0 '3 <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME Cho. r /-(' 5 tI1cTtJ/-oS L. <br />JOB ADDRES S 5V II Sc.. + S' (..I Io-"l tl'\ <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN 0 MOVE 0 <br />~ DuPLEX <br />PROPOSED USE: OSGL FAMILY DWELLING "A:'MULTI-FAMILY <br /> <br />o COMMERCIAL 0 INDUSTRIAL <br /> <br />DEMOLISH <br /> <br />~O# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />~ fe - RocrP w,:U +:bf;r!QS< <br /> <br />SQUARE FOOTAGE (tj 'J/; IS HEIGHT <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 />CJ RESTAURANT <br />krAr CJH <br /> <br />"" <br /> <br />sh ;fl.7/~~ <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />o BUILDING <br /> <br />$ <br /> <br />/1 c'OO <br /> <br />, <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />,0 ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br /> <br />o PLUMBING <br /> <br /> <br />o MECHANICAL $ <br /> <br />o GAS XROOFING 0 SPECIALTY <br /> <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <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 />****************************************************************** <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 />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br /> <br />***************************************************************** <br /> <br /> <br />Ro~h~ COMPANY ALUIYI!+- - TiLE K!..OO.cC:7'25 <br />STATE CERT OR REGIST # C((OV9s70 ~ <br />CITY PROCESSING # c::lS-V-:S <br /> <br />-- OJ' <br />. <br /> <br />OTHER <br /> <br />******************************************~******* <br />