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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 C'~/_ <br />DATE RECEIVED 7 / /~/ tI "3 <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME <br /> <br />1r'''l.~..P <br /> <br />/fo,^/~'-"""' <br /> <br />PHONE <br /> <br />JOB ADDRESS ,]-J S-y~ <br /> <br />"ue.w ,f/~^-I ""toN":') <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLI SH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />OCOMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />flMOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK At, -tf /:),~Xf <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <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 />$ <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 />d 'padi\1 a\lleN <br />pad\lle1s ~o pa1u1~ <br /> <br />~d 'padi\1 a\lleN <br />pad\lle1s ~o pa1u1 <br /> <br />uos~ad JO a~n1eu61S <br />1Ua\ll6palMou~~e 6u1~e1 <br /> <br />6Ul~e1 uos~ad JO a~n1eu61S <br />1Ua\lla6pa1Mou~Je , <br /> <br />q1eo ue a~e1 10U P1~ <br />l JO adi\1) <br />(u011e~1J11uap, paJnpo~d seq OqMO <br /> <br />P1P 0 OqM pue <br /> <br />'q1eo ue a~e::j <br />(uo11eo1J11uap1 JO <br /> <br />10U P1P 0 P1P OOqM pue <br /> <br />adi\1) <br />paonpo~d seq OqMO <br /> <br />, UMOU~ i\lleuos~ad s1 oq~ <br />~o a\ll 01 . a\llEU) <br />(pa6pa1Mou~oe uos~ad JO i\q <br />r - Slq:+ a\ll a~oJa8 <br />_, J 0 J\ ep , <br />OZ ~ua\lln~1Su1 6u106a~oJ aq~ <br />..............,.r;:.,'Y'"'\QTM{"),11"-:l~ seM <br /> <br />i\lTeuos~ad s1 oqMO <br />~o 'a\ll 01 UMOU~ I <br />'~ad JO ameu) <br />(pa6pa1Mou~oe uos i\q <br /> <br />r - snn a\ll a~oJa8 <br />, J 0 J\ ep , TT .L <br />-OZ ua\lln~~SUT 6U106a~oJ a~ <br />pa6pa1MOU~Je seM 1 , ' T~ TT~nn~ <br />