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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542 <br />813-7BO-0020 FAX:B13-7BO-0021 <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME t\o,\ F= -\-brC'_.f\.c:1c. L C'c.rO pe \ 0 <br />JOB ADDRESS 50 l.\ d-. ,5 't-"\ 0tr e e.-t <br />LEGAL DESCRIPTION: LOT (S) ( S- BLOCK _I '6'lt? SUBDIVISION <br />PARCEL ID # 11- :J.- (0 -;)...\ - 00 10- r? lo 0 D - 0 Is-a (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />PHONE <br /> <br />WORK PROPSED: DNEW CONSTRUCTION o ADDITION Jif'ALTERATION o REPAIR o INSTALL <br /> DSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE:ftfSGL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />E:J -e cW [ c..~ \ 0 '€... v V , c.. e. U \~ rc..d e <br />SQUARE FOOTAGE <br /> <br />BUILDING SIZE <br /> <br />HEIGHT <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 />-;ti: ;) ~ 5q <br /> <br />o BUILDING <br />Ai' ELECTRICAL <br />o PLUMBING <br /> <br />$ <br /> <br />~oo <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />P FLORI DA POWER <br /> <br />o <br /> <br />W.R.E.C. <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 />BUILDER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br /> <br />;?HHHHHHHHHHH"':::::::'~~'~~~::H~~:','~~', (I uc <br /> <br />STATE CERT OR REGIST # ER. OOIL\S'9 \ <br />CITY PROCESSING #~~ <br /> <br />ELECTRICIAN <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <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 />