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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 />o - ;zD-{)3 <br />DATE RECEIVED C- <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME JJ4#.4~/ If! 4-/17/ -f ,4:e/~ <br />JOB ADDRESS ~/.51 / -7U ..d-l <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION ~/02)!Afi~ I~Af~ <br />~ t?;2-c:2&-;t/-tJ/8'CJ-t?Z)ZJt)CJ-().::z~ (ORTATN FROM PROPF:RTY TAX NOTTCF:1 <br />WOR;-'~~OPSED: !fJNEW CONSTRUCTION 0 ADDITION o ALTERATION 0 REPAIR ~. INSTALL <br /> <br />PHONE <br /> <br />7f5fi{ -c?/S::J <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-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 /> <br />DESCRIPTION OF WORK <br /> <br />/.6 X J.:J <br /> <br />4~f##M <br /> <br />SQUARE FOOTAGE <br /> <br />c$'k~ <br />/,;20 <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS.& (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br /> <br />.P.ERMI'l:,S,REQUESTED ' <br /> <br /> <br />~BUILDING <br />o ELECTRICAL <br /> <br />$ I z)/JP' <br /> <br />VALUATION OF TOTAL CDNSTRUCTION <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 />$ <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 AREAD YES <br /> <br />o NO <br /> <br /> <br />" <br /> <br />BUILDER <br /> <br />SIGNATUR~ ~7 a g~/ <br /> <br />****************************************************************** <br /> <br />COMPAij-~.L.- Lb..Hu.-tJ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <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 />MECHANICAL <br /> <br />****************************************************************** <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 />