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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 />,,;? <br />IIr .;rrt <br />'O~... 0 / O~ <br />DATE RECEIVED ~ <br />PLANS REVIEW FEE <br /> <br />JOB ADDRESS <br /> <br />~v J ~,.J hB ( M-'C/;:?f C /J ( <br />77/5 hr8t i SL vel <br /> <br />727- %'-/7 -!5sC <br /> <br />11C/.1L(v <br /> <br />I , <br /> <br />ze /), I..,./lh I ( ( J <br />SUBDIVISION~6jvAhl{(f <br />/ <br /> <br />PHONE <br /> <br />OWNER'S NAME <br /> <br />~'-{(,6.Jr-O? <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL 10 # <br /> <br />3~ 2):.2, DI/O <br /> <br />/J /J(} '] <br /> <br />D[)'3~ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />~GN <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />~MMERCIAL <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 />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />l/VflU <br />DESCRIPTION OF WORK S; tv S a1. //)11 Z?L.;:t( , /;VAl ~ ;11,a,{( <br /> <br />BUILDING SIZE 1.2 / fv<cJlt": 20 I-:i;c,/'" SQUARE FOOTAGE <br /> <br /> <br />s <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 />~UILDING <br /> <br />$5J'l <br />..,., (J./J ? <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <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 AREAO YES <br /> <br />o NO <br /> <br />SIGNATURE <br /> <br />J~ <br />"7 ~ <br /> <br /> <br />COMPANY <br /> <br />6;C~ <br />0000 L/ I 7 <br /> <br />" <br />'. <br /> <br />BUILDER <br /> <br />********************************************************~.********* <br /> <br />SIGNATURE <br /> <br />~ <br /> <br />COMPANY /ftJ9 ~/U .J:; r1 CUA~ <br />, <br />STATE CERT OR REGIST # C S- (}Oo<0 'I { 7 <br />CITY PROCESSING # <br /> <br />ELECTRICIAN <br /> <br />********************************************************~-********* <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*************************************************~**k*********~;~~ <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />********************************************************-k******** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />