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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 P-lD - b'3 <br />PLANS REVIEW FEE C <br /> <br />JOB ADDRESS <br /> <br />Co\~ <br />~J JLj- 7 <br /> <br />fi\ e ~~ \ \, 0 V\ \-\G't1^-C ~ <br />~~dcf' i l K-sb",-v ~ <br /> <br />BLOCK SUBDIVISION <br /> <br />PHONE <br /> <br />l~~-~2.Sl <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # 03 - 2.. b - 2. \ <br /> <br />Q LOa - DQDOO - 06 cO (OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />[]..-(NSTALL <br /> <br />OSIGN 0 MOVE 0 DEMOLISH <br />PROPOSED USE: OSGL FAMILY DWELLING ~LTI-FAMILY 0# OF UNITS <br /> <br />OCOMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />~ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />"2Li;j;;-6,1h0 ~f~C-' <br /> <br />SQUARE ~AGE <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY F'ORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br /> <br />~;C." '\ <br />'4~/ <br /> <br />o BUILDING <br /> <br />$ <br /> <br />PERMITS REQUESTED <br />9 PO'~-- <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />~LUMBING <br /> <br />o <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 /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <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 />s <br /> <br />***************************************************************** <br /> <br /> <br />COMPANY ~~~ ~\,("'t'~)+~. ..:r-c.('\:J~ ~\ (If'\. <br />STATE CERT OR REGIST # _ <br />o CITY PROCESSING # /~~ <br /> <br />*******************************************************~(* !***** <br /> <br />OTHER <br /> <br />