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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 NAt1E 6; /ly tee~:.r4. <br />JOB ADDRESS 575 L/ 1(, 1-'" .$,t<ee.'" <br /> <br />PHONE S'/3. 7cJb "~~:2 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # JI."~-';}'I- 0010- O"""OO-O/d.(J <br /> <br />WORK PROPSEO: Ol,JEvJ CONSTRUCTION <br /> <br />(OBTAIN FROM PROPER~Y-TAX NOTICEl <br /> <br />o ADDITIOn <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />[J InSTALL <br /> <br />Os IGN <br /> <br />o t10VE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: ~SGL F'At1ILY DWELLING <br /> <br />o <br />COMMERCIAL <br /> <br />OMULTl-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWH1MING POOL <br /> <br />o t10BILE /lOME <br />OOTIlER <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />It e - It..oo~ <br /> <br />5:. ,'~/~ "'7 R~~d.. <br />, <br />SQUARE FOOTAGE ;J.~(,o <br /> <br />m t!!--..,.{. "'14-,h/~ <br /> <br />BUILDING SIZE <br /> <br />HEIGH'!' <br /> <br />RES I DEUTrAL: <br />Cm11'1ERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILD1I1G PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW COI1STRUCTJON, <br /> <br />0 BUILDING <br />0 ELECTRICAL <br />0 PLUMBING <br />0 MECHANICAL <br /> <br />$ <br /> <br />Vi' J. 'I OS: <br /> <br />PERMITS REQUESTED <br /> <br />-tt?'Z-s1 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C, <br /> <br />$ <br /> <br />VALUA'I'IOl~ OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />l2 ROOFItlG <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF' CO!lSTRUCTION: 0 BLOCK <br /> <br />o FRAt1E <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FHnSHF~D FLOOR ELEVATIONS <br /> <br />I S PROJECT III FLOOD ZONE AREA 0 YES <br /> <br />o NO <br /> <br />I, , <br /> <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**~**~******************.*************************.*************** <br /> <br />ELECTRICIAN <br /> <br />S I GllATURE <br /> <br />COMPAtlY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />cm1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />************.***************************************************** <br /> <br />cm1PAHY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />******************'*****'****************************'**********. <br /> <br />OTHER 6,,.,.,.; SI.~1'L - tZ..cx,P;-y <br />SIGNI\TURE _~ <br /> <br />cm1PANY 7Juv.'>>C,'I../4! A.ssoC. :&.vc... <br />STATE CERT OR REGJ ST # t!..et.o",.3c, I <br />CITY PROCESSING # <br /> <br />******************************~******************k********~~***** <br />