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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' 8 NAt1E <br /> <br />6/11'1 ~ CJ4-2.0f" P&<5--D <br />S- 7S"Y , r. ..-,. 51: <br />. <br /> <br />PHONE <br /> <br />7r"-e,~:L. <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: L01'(8) <br /> <br />BLOCK <br /> <br />SUBDIVISIOl'l <br /> <br />PARCEL ID # 11-J.t,-~/-I!1D/O-o7'1OQ_(JI2.l) <br /> <br />(QB1AIH-FROM PROPER~Y-TAX NOTICE) <br /> <br />WORK PROPSED: 0 NEW CONSTRUCT ION <br />o SIGN <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o t'10VE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FN1TLY DWELLING <br />o COMl'1ERCIAL <br /> <br />DMULTl-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o t10BILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ RE:STAURAllT & HEALTH DEPARTl'1ENT APPROVAL <br />R~p/~(;- C~...A1L~'( 1t/c. /..fcr.Jft,,~. <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RF.SI DENTIAL: <br />CO~1~1ERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILD lllG PLANS & (1) SET E:NERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, <br />PROPERTY SURVEY REQUIRED FOR ALL NEW COllSTRUCTJON. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUAT ION OF TOTAL CONSTRur:::T ION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W,R,E.C. <br /> <br />o PLUMBING <br />f5I MECHAHICAL <br /> <br />$ 1.J?S''''' <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' CONSTRLJC'l'ION: 0 BLOCK <br /> <br />o FRAt1E <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATJ OlJS <br /> <br />I S PROJECT I N FLOOD ZONE ARF,A 0 YES <br /> <br />o NO <br /> <br />I <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 />cm1PAllY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGtlATURE <br /> <br />*************k*********~**********************************k******* <br /> <br />PLUMBER <br /> <br />Cm1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br /> <br />SIGUATURE <br /> <br />* * ** * * * *.. * * * * * ** * ** * * ** ** ** *}.* * ** *.k * * ** * * * ~k * * * *'k* <br />COMPANY u,ltf; Afctf/lhf.r;~ <br /> <br />STATE CERT OR REC~IST # Ct+c...Dtf;.'~7 <br /> <br />CITY PROCESSING # '0) <br /> <br />************************+**************************A*********** <br /> <br />OTHER <br /> <br />cm1PAl'lY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNl\TURE <br /> <br />*********k*k*********~********~*********~.********k****~********** <br />