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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 />-..--- . r':"'"u ~(111 vf:f1)- tit J tP:1- q ( Z 2l/'( <br />OWNER'S NAME ...J Ci 6fIf A f f/ {611{fJP/ fI"'TTCl'-' ~~(J~'~ONE 351. '>zJ 2.:f.l.J7 <br />:5 ~'f3 11 -rn.$1':' t ~'ljj K. <br />L ~ M 9> , P 5' 'i ~oT-S' ') J ~ rjuc/C 10 1../ <br />LEGAL DESCRIPTION: LOT(S) BLOtK SUBDIVISION <br />PARCEL 10 # \ \ '2.~ '2, (0) 0 IOl.\oO OISO x-r-f ~TfI~ ~ROM PROPERTY TAX NOTICE) <br /> <br />JOB ADDRESS <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />XREPAIR <br /> <br />(gf INSTALL <br /> <br />o SIGN <br />PROPOSED USE:~GL FAMILY DWELLING <br />o COM~]ERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDllSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL L?~ <br /> <br />M~OIJ"~ f~,tkJJ ~ ~'*' ~ ~ a~ OJ-<<. <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE HEIGHT <br /> <br />RES I DENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGy FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />4 '3!:J J <br /> <br />o BUILDING <br /> <br />$ <br /> <br />J.'~OOr()0 <br /> <br />PERMITS REQUESTED <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 PLUlVlBING <br /> <br />o MECHANICAL $ <br /> <br />o GAS ~OOFING 0 SPECIALTY <br />t <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />o 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 /> <br /># <br /> <br />***************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*************************"k**************************************** <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 />***************************************************************k* <br />