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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 RECEIVE~___7:- ~ - D 3 <br />PLANS_aEvnW" FEE <br /> <br /> <br />OWNER'S NAME W f/\ "6< E L (-z:.. 4 oe T f-{ E:. V A 1JS <br />JO~' ADDREss55~ \0+11 S+ kph'-(rh'(\\s I rL <br />.; ,t <br />LEGAlJ DESCRI PTION: LOT (S) i J, 11} 13) I 'j <br />'" CJ 3- Os ~ 7.3 ~ <br />PARCEL ID # ~7 {,' qoo P B 1. P;; 4 G '5 q <br />'/.-z.,- -2,- 00/6 - io30o- 0 110 <br />WORK PROPSED: ONEW CONSTRUCTION 0 ADDITION <br /> <br />/ <br /> <br />&NE <br />~~5YC} <br /> <br />BLOCK <br /> <br />(03 <br /> <br />SUB!)] V 151m] <br /> <br />(O~TAIN FROM PROPERTY TAX NOTICF.l <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />.0' INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLI SH <br /> <br />PROPOSED USE:~SGL FAMILY DWELLING <br />OCOMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o t-'lOBILE HOME <br />o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK (NS TAL L A(c. <br /> <br />... <br /> <br />BUILDING SIZE <br /> <br />28 )( 3' <br /> <br />SQUARE FOOTAGE <br /> <br />900 <br /> <br />HEIGHT i B 'TO PE.A K <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br /> <br />PERMITS REQUESTED <br /> <br />& (1) SET. ~ EN ORMS. <br />FORMS. / <br />//. or <br /> <br />/ L 1~' /. <br />/ "'it' {ol <br />i <br />VALUATION OF TOTAL CONSTRUCT:ItON <br /> <br />o BUILDING <br /> <br />$ <br /> <br />o PLUMBING <br />KJ t-1ECHANICAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />$ t2oc>~ <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATI <br /> <br />TYPE OF' CONSTRUCTION: 0 BLOCK <br /> <br />o OTHER <br />p( 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 />q~~~'"j' <br /> <br /> <br />COMPANY \ l';, oO.1.~ <br />- <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />BUILDER <br />SIGNATURE <c:.9;;13-0l-4> +:-lru co,. t'A 171-"" I:}.) <br /> <br />********************************************* <br /> <br />SIGNATURE ~ Q~ J <2-- ~ <br /> <br />COMPANY <br />STATE CERT 0 ~EGIST <br />CITY PROCESSING # <br /> <br /> <br />ELECTRICIAN <br /> <br />, <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 />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />