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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 NAME T R. W/lTTS' ('/Ii? ),<//15/1 ~NC . <br />JOB ADDRESS 5'554- c7ALL BL VZ) (' CC/./lZI,.€V e/lR. <br /> <br />])I'IVIO /l,eP1STRpN't;' <br />PHONE '782 -c 7/7 <br /> <br />W/ls,t/ ) <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />LD.aT1HN FROM PROPER'tL1'AK.. NOTICEl <br /> <br />WORK PROPSED: Or,lEW CONSTRUCTIOll <br /> <br />o ADD IT ION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br /> <br />o !.10VE <br /> <br />o DEt10LISH <br /> <br />SewER. TIC /N <br /> <br />PROPOSED USE: OSGL FAtHLY DWELLING <br /> <br />~ <br />COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWH1MING POOL <br /> <br />o t10BILE HOME <br />DOTIIER <br /> <br />D RESTAURANT & HEALTH DEPAR'l'[1ENT APPROVAL <br />DESCRIPTION OF WORK IfE /.-<ITO sew,:,/? f'lx/,</crt7/0,,(/ TO lJE 'pROV/OEl? C'AI tnt 57: BY ~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGH'l' ___ <br /> <br />RESIDENTIAL: <br />Cm1t1ERC rAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDHIG PLANS & (1) SET ~~NERGY F'ORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTJOl,I. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL C01JSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />------- <br /> <br />M1P SERVICE <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />[2( PLUMBING <br />o MECHAtlICAL <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' COtlSTRUCT ION: 0 BLOCK <br /> <br />o FRA!1E <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FItnSHED FLOOR ELEVATIONS <br /> <br />I S PROJECT I N FLOOD ZONE ARE:A 0 YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**~*********************~************************k******~********* <br /> <br />ELECTRICIAN <br /> <br />SIGtJATURE <br /> <br />COt'1PA1JY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />~ .~~ <br />SIGNATURE . ~ tY '..-:::: <br /> <br />Cm1PANy--p~H'\;-s (,.J: ( { I <>'VW\S <br /> <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />cm1PAHY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGtlATURE <br /> <br />*****************************************************A**k******** <br /> <br />OTHER <br /> <br />S J GNJI.TURE <br /> <br />Cm1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />*******************~**********~***************************~****** <br />