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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br /> <br />BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 g.,;l /_ ~ <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAMEJar lC ~"n9 <br />JOB ADDRESS 37 bOO k) f U \< om <br /> <br />PHONE ~'l3 ~ 780 - q)fob <br />Au~ . 7~ph!:j r h" J~ ; PL. . 33S4 1 <br />SUBDIVISION brcu\d I-{Of{7/)(}S ~e 1- <br /> <br />LEGAL DESCRI PT ION: LOT (S) {l~ <br />PARCEL ID # 31.~5- d /-OCJqO - OtJDOO'~ Od..d..O <br /> <br />BLOCK <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR W INSTALL <br /> <br />o SIGN <br /> <br />o tviOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />OCOMMERCIAL <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 />DESCRIPTION OF WORK ~e..J,....j.-lDind{)..lJS: ....5)fl1Y)(/. S /'CG <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 />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />Ac}{e rmCU7 <br />cmSfrl10ff1Jr1 J I f/ C <br />rifie e. # <br />o W.R.E.C.7;;).7- <br />3:16- 73CiJ <br />Of' <br />77).7- 37'0- <br />5 d. OD <br /> <br />o BUILDING <br /> <br />$ <br /> <br />3,45CJ <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o PLUMBING <br />o MECHANICAL $ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OtHER <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br /> <br />D OTHER@ <br /> <br />o STEEL <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br /> <br /> <br />BUILDER <br />SIGNATUREln..tf\{ i ~ !ffY)CLv\ <br /> <br />COMPANy~maJ) Cb1~~~nc <br />STATE CERT OR REGIST # CBC~ /fS () ~ -=1- <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />