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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'S NAME <br /> <br />~~Ot 'Sd<1C6 ~-A.{2LWuJ <br />3 Cf z c..fc, ~ -tf.. I4lJ/5 <br />/ BLOCK ~ <br />(J)c:>LlO - (!)O~(!)f:)- (JoIO <br /> <br />PHONE ~(~-7~~"'{~/O <br /> <br />P1't.. C:>20bJ-Jtil <br /> <br />SUBDIVISION ..z6PHYIl. N6I6-HrS I ~~,tI <br />(JJ(Z. :H S- Z P6- I ~ 'I S I"f1 <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # <br /> <br />/2-21:>"'2/ <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />^REPAIR <br />, <br /> <br />o INSTALL <br /> <br />o SIGN <br />PROPOSED USE:~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />TCllI( Ofr oJ Rc: -,(looP <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />LA&~ ONLY <br />2'-/OOSr <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <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 AREAO YES <br /> <br />o NO <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 />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />********************************************************~******** <br /> <br />OTHER ~~. ~~~ <br />SIGNATURE.. _ _ -~ /?' .. ;~ <br /> <br />COMPANY ALuM~-nLC K:oo?t;:,-,e5,IIVe <br />STATE CERT OR REGIST # _ CC1/'O~937Z; <br />CITY PROCESSING # <br />~..,,~. ,.--- . "~.:tt~"":"'"I.-.~ <br /> <br />********************************************************~** *. <br />