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<br />~ <br /> <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 NAMEJkk.rr Soup- LLe PHONE t/o7- t{~ -5"5'19 <br />JOB ADDRESS 6512 Co ' Blvd 2~pA-' FI. '53510 <br />I BLOCK SUBDIVISION.2'e,vh. &(. ~ <br />, <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL 10 # <br /> <br /> <br />WORK PROPS ED: 0 NEW CONSTRUCT ION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br /> <br />PROPOSED <br /> <br />~IG ' <br />USE: 0 L FAMILY DWELLING <br />COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />~ v\\ <br />;r1J <br /> <br />DESCRIPTION <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 />OF WORK <br /> <br /> <br />J;n L s <br /> <br />BUILDING SIZE <br /> <br />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 BUTLDING <br /> <br />PERMITS REQUESTED <br />$ -5? ooe). 00 <br /> <br />l'} 0 rL <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 />o GAS <br /> <br />o ROOFING <br /> <br />$ 5~ 000 . 00 VALUATION OF MECHANCIAL INSTALLATION <br />o SPECIALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />. 0 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 />SIGNATURE <br /> <br /> <br />******************~~)*********************************k********* <br /> <br /> <br />/ /.. COMPANyJl/~11 E!atI'GL.5Jh" ~IlCfqueIIQ <br />/ / ..-s'TATE CERT OR REGIST # t=COOO.:25"I/2.. <br />CITY PROCESSING # <br /> <br /> <br />"H' ,8, H H' H H H H'" H H" H" H H' <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />,vub <br />-/tJ ~. <br /> <br />ELECTRICIAN <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br /> <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />**************************************~**** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />