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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 />JOB ADDRESS <br /> <br />~A,q t:koc:-co <br />38908 s-r4tQv,c <br /> <br />PHONE B Is-7Sg: y/.s-r <br />ZEPKyI,t,A"/./5 ,,L'-'L ~.3:; -'72- <br />, - <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />/ /- 2.(0 - 2 i-c)o/~,-/79Z>D - 6 D '7'l> (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: 9'NEW CONSTRUCTION <br />OSIGN <br />PROPOSED USE: !;ilSGL FAMILY DWELLING <br />OCOMMERCIAL <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 />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o ~10BILE HOME <br /> <br />titOTHER <br />.$'CA~ IP~ <br />~.... pCk., L. <br /> <br />c:J RESTAURANT & HEALTH DEP~RTMENT A~OVAL <br />DESCRIPTION OF WORK SC/c;'t!!:'A/' ~e>- 7P Lovc+ I~/ <br />BUILDING SIZE 22 ~hX ~t/ 6j/y SQUARE FOOTAGE 712 <br /> <br />HEIGHT <br /> <br />/D ;" <br /> <br />RES I DENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />~UILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />2 tJt)V~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W,R.E,C, <br /> <br />o PLUMBING <br /> <br />o IvlECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />Qr OT HE R ,Il.t. i.J'/YJ--/;;~_ <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES t)i( NO <br /> <br /> <br /> <br /> <br />BUILDER () VNt::,L/ COMPANY ~yJl\J/'f <br />~7 II ~ STATE CERT OR REGIST # <br />SIGNATURE ~ ~./ -AJ CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />AI//; <br /> <br />. <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />N/A <br /> <br />I <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />************************~***************************************** <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />/VIA <br /> <br />/ <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />******************************************************~********** <br />