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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 <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME Wf/\ ~ E LlZ-4. oE.TH <br />JOB~ ADDRESS ::) ~52:() \ O+Yi St- . <br />J ,r' . <br />LEGAIi DESCRIPTION: LOT (S) il, 11, /3) 14 <br />.--:'. (;) 3- Os .73 - <br />PARCEL ID # "7 I ,qoo P B t PA4G 51 <br />i ( - t", - 2 I - 0 0 i6 - 103 00 - 0 J I 0 <br />WORK PROPSED: ONEW CONSTRUCTION 0 ADDITION <br /> <br />E..V A NS <br /> <br />2(> ph\/'~ h-, I \'\ ,\= L <br />BLOCK I 03 <br /> <br />PHONE <br /> <br />SUBDIViSION <br /> <br />(O~AIN FROM PROPERTY TAX NOTICE) <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />~ INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE:~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o tvlOBILE HOME <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK tt-.:lS'~<-L- Two '30 AVlf' Cl Rev!,S t:oR KEAT pu :-J\p <br /> <br />BUILDING SIZE <br /> <br />28 X '3' <br /> <br />SQUARE FOOTAGE <br /> <br />900 <br /> <br />HEIGHT (B'Te) PEAK <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 />PERMITS REQUESTED <br /> <br />o BUILDING <br />~ ELECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o ~1ECHANICAL <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 />~ 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 />BUILDER <br />SIGNATURE t'f2~,~' r ~ C, . CC.A..:n..N\.0 <br /> <br /> <br />****************************~'****************Cl***************** <br /> <br />, <br />ELECTRICIAN . COMPANY ~<-'71J.l( <br />9' " - . (\ C. _ STATE CERT OR REGIST # <br />SIGNATURE '-JL,r...--J61 o~.r.i.. J '-- \......A....t~CITy PROCESSING # <br /> <br /> <br />COMPANY <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 />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 />