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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- /I-o-.:s <br />DATE RECEIVED _ ~ _ <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME !i;/?JIf-"f CJhtE5;,/~'NS <br />JOB ADDRESS t/O~20 /?tEE HII /!i/F <br /> <br />::7"-c.. <br /> <br />PHONE * <br />,Fe- .;'$5"'12 <br /> <br />2~-'h,1h <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # <br />WORK PROPSED: ~EW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK II/c/ IO()14 5..,J1"~l 3.~ I~" t/s-kP EBpy,L'-c>vf ~5I:A1~ /~~ :?tJ4 <br />BUILDING SIZE SQUARE FOOTAGE HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />o BUILDING <br />~LECTRICAL <br /> <br />$ <br /> <br />2150. ,,"" <br /> <br /> <br />PERMITS REQUESTED <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING <br />ATTACH (3) SETS <br />PROPERTY SURVEY <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />IOe <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. rfI./ <br /> <br />t!J' I{ ~I Of) <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br /> <br />VALUATION OF MECHANCIAL <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT <br /> <br />AREAO YES <br /> <br />o NO <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br /># <br /> <br />***************************************************************** <br /> <br />ELECTRICIAN~ ..L/. <br />SIGNATURE ~ <br /> <br />CO PANarlt~(.J~'F ~/rt..k" ~L _ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # ~g~~ <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 />