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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 />DATE RECEIVED 7; t2~ (J3 <br />PLANS REVIEW FEE <br /> <br />.r' <br />OWNER'S NAME b-fl~J f/(JI't I ~ o,..) <br /> <br />JOB ADDRESS L 0747 .1752. 7' <br /> <br />PHONE <br />/Uc:uJ .l!o,ql Z:W1I~ tJ Iv) <br />BLOCK SUBDIVISION (,.~4N-J !l-W'J..("2 ~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL 10 # <br /> <br />DSIGN <br /> <br /> (OBTAIN FROM PROPERTY TAX NOTICE) <br />o ADDITION DALTERATION o REPAIR o INSTALL <br />o MOVE 0 DEMOLISH <br />DMULTI-FAMILY 0# OF UNITS ~ILE HOME <br />o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />DCOMMERCIAL <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />/)1, f/ -41-z <br /> <br />SQ ARE FOOTAGE <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <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 /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br /> <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 <br /> <br />o NO <br /> <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY Bv-1J;",,"~ <(. ~ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />1.r1' 7 <br /> <br />CI~ <br /> <br />COMPANY /:1<:.. ~ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />.[0 c..,.. - L? ...A~ <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />IJ v.:1T'"C""" T1 ~'I J <br /># <br /> <br />PLUMBER <br /> <br />MECHANICAL <br /> <br />********************************************)1******************** <br />COMPANY c:.. ~ <br /> <br />SIGNATURE <br /> <br />w-~ <br /> <br />I{~ <br /> <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />