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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 />,---7, "I ~ l) :5 <br />DATE RECEIVED Z> <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME~iff ~OdYi9U(?L.- PHONE C<6\3)~4'-1[J4lo <br />JOB ADDRESS.5i.o ~O llo-t!::\ ..3tr eet _ <br />LEGAL. UESCRI PT ION: LOT (S) \'7- - \~.. \it - \ S BLOCK ~ SUBDIVI S lOl,1 <br />PARCEL ID # lL.21Q_2..LQQJO 101eo 01 Q() IOBTAIN FROM PROPERTL..Tllli NOTICE} <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />TXADDITIOtl <br /> <br />o ALTERATIOll <br /> <br />o REPAIR <br /> <br />lJ INSTALL <br /> <br />o SIGN <br /> <br />o !10VE <br /> <br />o DE~10LISH <br /> <br />PROPOSED USE: DSGL F'AMILY DWELLHIG <br /> <br />OCOM~1ERCIAL <br /> <br />oMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF mUTS <br />OSWH1MHIG POOL <br /> <br />o t10BI LE H0I1E <br />~ OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ RF,STAURAN'l' <br />M, f\\ QOf C'~ <br /> <br />& HEALTH DEPARTt1ENT APPROVAL <br /> <br />BUILDING SIZE <br /> <br />In Wa:Q -home D.nc\ bIDc;I"/c.ollc(e;t~ <br />() ~ )1 ") <br />SQUARE FOOTAGE '-'\ . ~~. HEIGH'!' <3' <br />la' , <il" _\~ <br />PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FDRMS. <br />OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />REQUIRED FOR ALL NEW COllSTRUCTICJt.]. <br /> <br />. RES I DE:llT rAL: <br />cm1~1ERC I AL : <br /> <br />ATTACH (2) PLOT <br />ATTACH (3) SETS <br />PROPERTY SURVEY <br /> <br />~ BUILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />5ClJc/) <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />A1vlP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLlJ!v1SH1G <br />o MECHAtlICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFH1G <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: Q{ BLOCK <br />~FINISHED FLOOR ELEVATlO!JS ' <br /> <br />~ FRAt1E <br /> <br />>-.3TEEL <br /> <br />o OTHER <br /> <br />I S PROJECT I N FLOOD ZONE ARF,A 0 YES <br /> <br />~NO <br /> <br />BUILDER <br />~ ' /;j STATE CERT OR REGIST # <br />SH;UATlJR~ 'A'A.b1 /A.1tk 'r~ CITY PROCESSItW # <br /> <br />********:********~**J***************************J************J**** <br /> <br /> <br />ELECTRICIAN <br /> <br />SIGllATlJRE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************k** <br /> <br />PLUMBER <br /> <br />cm1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />CO~1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*+****************~**********************************~*********** <br /> <br />OTHER <br /> <br />Cm1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNI\1'URE <br /> <br />********~*********************~***********~******k****~***~****** <br />