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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 ;j '(L {} "j <br />DATE RECEIVED . I <br />PLANS REVIEW FE <br /> <br /> <br />,r:-~ <br /> <br />?"? <br />--' <br /> <br /> <br />/:yCr Y ') <br /> <br />OWNER'S NAME E~ sl s -1 /J) In: '_("')~'H" ~ (' <br />J/ <br />JOB ADDRESS --.!.<;' '6 I (\. t-.). 4 fa <br /> <br />SGh,J <br /> <br />J/ I ,~ <br />QJ/e'Flde /PHONE (; <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # ()c2-,;>G -cJ/-O{[/d -oc,ooO-()04() (OBTAIN FROl<1 PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: DNEW CONSTRUCTION IEl ADDITION o ALTERATION o REPAIR o INSTALL <br /> Os I GN o MOVE 0 DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> P1{COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK Ef1c .iro /1 <br />c7@ J 0 )< '70 <br />BUILDING SIZE d@ &:J X,7CJ <br /> <br />d+ /11,;,,' '- ':t. r/Hd UTI ;Js <br />J <br />SQUARE FOOTAGE /()00 <br /> <br />HEIGHT ;:; '4 " ev,o, <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 />o BUILDING <br />D?~AL <br />D~~G <br />D~~L , <br />0# D~~'G <br /> <br />$ <br /> <br />/j S{, C; (\ (' <br /> <br />PERMITS REnUESTED I ). ,9110, <br />'& ~-!J <br />;:f n ~,1?-- <br />VALUATION OF TOTAL CONSTRUCTION ct- I <br /> <br />AMP SERV1CE 0 F'L~DArER 0 r.~)J 4,1"" <br /> <br />$ <br /> <br />o ~~TY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D~ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK 0 FRAME <br />FINISHED FLOOR ELEVATIONS 8'7, So <br /> <br />~ STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />J(NO <br /> <br /> <br />SIGNATURE <br /> <br /> <br />./ <br /> <br />/ / I ,.-,,/, <br />COMPANY b,f,t,-:.f It71;) /Slrlc,<~ ~IJ /1 /..--;C:;''''/'h/6r <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />BUILDER <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 />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*******************************************************~********* <br />