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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th Street, Zephyrhi11s, FL 33542 <br />813-780-0020 FAX: 813-780-0021 c:y/ ;: <br />DATE RECE IVED t::J'/ /;Z tJ 3 <br />/ / <br />PLANS REVIEW FEE <br /> <br />},y,. ~ <br />OWNER'S NAME /,.~ ~ !>JI C. <br />JOB ADDRESS L 01 IlJ--h <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />0".. A .) <br /> <br />PHONE <br /> <br />BLOCK <br /> <br />SUBDIVISION /71/1J' ~~ 7;~ (),.,9..t::2. <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: oNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />oALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: oSGL FAMILY DWELLING <br />oCOMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />-EI1:m"B ILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />D <br />r~/L/C , <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />J.,..,<J Je / <br /> <br />jd.~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <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 />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 OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br />SIGNATUREWor-- /l ~_ LL/..),.J) <br /> <br />~ - /1 <br />COMPANY (?v.-/{-<'- h 2. (/ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~1 ~a4e1 <br /> <br />COMPANY ~P'1-,vJ A If <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />W~ Lt:~ <br /> <br />. ~ ~'f'J) <br />COMPANY tJ.../II<::./'-. J - /f. Ie. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />PLUMBER <br /> <br />MECHANICAL <br /> <br />************************************************)***************** <br />COMPANY t5JQ I'l.- s <br /> <br />SIGNATURE <br /> <br />LJc:r-- OJ~ <br /> <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />