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<br />c.~ <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th Street, Zephyrhi1ls, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME ~Udf-e..y ~a..<'\du fC\. <br />JOB ADDRESS '5 \ \ 0 1-+h. s+ <br />LEGAL DESCRIPTIOII: LOT (S) -RJ ... d.a. BLOCK ~ SUBDIVISION-.l/lo5/ <br />PARCEL ID # l \ - ::l_~....a l -00 (0 -11aOD --0r1t!UillITlUILFROM PROPER,T.L..TAX NOTICE) <br /> <br />PHONE 110t '-I'fd.-D <br /> <br />WORK PROPSED: oNEW CONSTRUCTIOn <br />oSIGN <br /> <br />PROPOSED USE: oSGL FN1ILY DWELLING <br />oCOMI1ERCIAL <br /> <br />o ADDITIOtl o ALTERATION o REPAIR o INSTALL <br />o W>VE 0 DEMOLISH <br />oMULTI-FAMILY 0# OF UNITS o ~10BnE !lOME <br />o INDUSTRIAL o SWIMMING POOL o OT!lER <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ RESTAURANT & HEALTH DEPARTt1ENT APPROVAL <br /> <br />t:~0L JJtl <br /> <br />BUILDING SI ZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT ___ <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDH1G PL,ANS & (1) SET ENERGY FORMS, <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW COllSTRUCTION, <br /> <br />PERMITS REQUESTED <br /> <br />0 BUILiiING <br />0 ELECTRICAL <br />0 PLUMBING <br />0 MECHAtlICAL <br />0 GAS o ROOFING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />A~1P SERVICE <br /> <br />o <br /> <br />FLORI DA pmvER <br /> <br />o <br /> <br />W.R.E.C, <br /> <br />$---,- <br /> <br />VALUATION OF MECHANCIAL IHSTALLATION <br /> <br />$L(O' <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF' CO!1STRUC'I'ION: Ll BLOCK <br /> <br />o FRAt1E <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PRO,JECT IN FLoon ZOI.lE AREA 0 YES <br /> <br />o NO <br /> <br /> <br /> <br />BUII,DER <br /> <br />SI(~NA'l'URE G.-~ ~ <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />Owllt1' <br /> <br />*************************~**************************************** <br /> <br />ELECTRICIAN <br /> <br />SIGIIATURE <br /> <br />COMPAllY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />C0l'1PANY <br />STATE CERT OR REGIST # __________ <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />*********j~******************************************************** <br /> <br />cm1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************~A*********** <br /> <br />OTHER <br /> <br />CO~'IPAtlY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGW\TURE <br /> <br />*************************************************k********~***~_** <br />