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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th Street, Zephyrhills f FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAt1E Q,\-x..~ \'..'\\ Q..~\ \ (;)(j <br />JOB ADDRESS 38, o~ Q,-",c.JY\~ L n <br />LEGl\.L DEseRI PT ION: LOT (S) c:28 BLOCK <br />PARCEL ID # ~ '2;.- ~-;l.,\ ~ c:.C) \t - ~() -' (:::)""L'8 0 <br /> <br />PHONE 8 I~ - ',~ ~- 8~'s I <br /> <br />SUBDIVISION <br /> <br />V 11\ A t- ~ rt>> lJ -<... <br />(OBTAIN FROM PROPER~Y-TAX NOTICEL-- <br /> <br />WORK PROPSED: Dl'lEvJ CONSTRUCTION <br />DSIGN <br />PROPOSED USE )4SGL FAt1ILY DWELLING <br />o COMt1ERCIAL <br /> <br />o ADDITION DALTERATtON J~ HEPAIR [J INSTALL <br />o MOVE 0 DEMOLISH <br />DMULTI-FAMILY 0# OF UlUTS o MOBILE HOME <br />o INDUSTRIAL o SW It1tlI NG POOL DOTIIER <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURAIJ'l' & HEALTH DEPARTI'1ENT APPROVAL <br />~ ~(';)(':) ~ <br /> <br />BUILDING SI ZE <br /> <br />SQUARE FOOTAGE <br /> <br />II L( <-I <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />C0I'1t1ERC IAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDHIG PLANS & (l) SET F~NERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOHNS, <br />PROPERTY SURVEY REQUIRED FOR ALL NEW COtISTRUl'TJON. <br /> <br />PERMITS REQUESTED <br /> <br />~ BUILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />45' ~ ao VALUATION OF TOTAL COI1STRUCTION <br />\ <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 />o GAS ~OOFING 0 SPECIALTY <br />TYPE Of COtISTRlJCTION: 0 BLOCK <br /> <br />VALUATION OF MECHAI,lCIAL INSTALLATlOtJ <br /> <br />o OTHER <br /> <br />o FRAt1E <br /> <br />o STEEL__~ OTHER <br />I S PROJECT I N FLOOD ZONE AREA 0 YES <br /> <br />o NO <br /> <br />FINISHED FI,OOR ELEVATIONS <br /> <br /> <br />BUILDER C\ <br /> <br />SIGNATURE ~. <br />$u,t,._ Ot\..~, <br />T~l*-;'k**** <br /> <br /> <br />...--~.- <br /> <br />\ COMPANY ;: N ~ , 'N r. I b\ t fls-s: ~ ' 15'" c. <br />\"" STATE CERT OR REGIST # c...c.. o' 3(; <br />- CITY PROCESSII1G # <br /> <br /> <br />, * * * * * .;- * * .;. * * * * * * * * * * * * * * * * * * * * " * * * *1 Z1 * : * J *? *~ *: * 9." S" 8S <br /> <br /> <br />ELEC'l'RICIAN <br /> <br />SIGNATURE <br /> <br />N'I-\ <br /> <br />Cm1PAtlY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />**~**********k**************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />~~ <br /> <br />Cm1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />rJ )~. <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />*******************************************************)k******** <br /> <br />OTHER <br /> <br />tJA <br /> <br />C0I11?ANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />S I GNi\TURE <br /> <br />***********k******************************************~***~****** <br />