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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th Street, Zephyrhil1s, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />JOB ADDRESS <br /> <br />'Ie II.. f SA 1-1 c I-I-();t/ <br />~~D<; R?dJe <br /> <br />PHONE <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />5+ ' Z e~ h :f/'It;II~ <br />I / <br />BLOCK <br /> <br />F i- 3 s5" 7"2- <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # I () ,. <;, ?../ 00 Cj~ "600 tlO 7S D <br /> <br />IOBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />~TERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />ftdJ <br /> <br />gAlt';?C~M ['tV ef;5i/~ <br /> <br />SQUARE FOOTAGE / ~ C (~) 5r:j {+ HEIGHT <br />1 M~L. <br />PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />OF BUILDING PLANS & (1) SET ENERGY FORMS, <br />REQUIRED FOR ALL NEW CONSTRUCTION, <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT <br />ATTACH (3) SETS <br />PROPERTY SURVEY <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />~UMBING <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R,E,C, <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OT HER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />15:2-- L(t ~ g <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />I S PROJECT IN FLOOD ZONE AREA 0 YES <br /> <br />o NO <br /> <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />'yo <br />" <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN ~ COMPANY~ ~<" /~C- <br />/' STATE CERT OR REGIST # e;P~{)/~59"/ <br />SIGNATUREL CITY PROCESSING # JlY3f? <br /> <br />..,**.*, .*~*.*..,.,.*'*,...*.*****'**.*******.*...**'**. <br /> <br />PLUMBER <br /> <br />~L <br /> <br />-- <br /> <br />COMPANY- (tJ/#'!/l Pl(hhhl~- <br />STATE CERT OR REGIST # {jw#fp <br />CITY PROCESSING # <br /> <br />( t; 3~ <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />**********************************************************k******* <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 />***************************************************************** <br />