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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ Street, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER' S NAME_FY2-A-rl~s~A-v'2er <br />JOB ADDRESSSYO\ C1Jd.. ~ <br /> <br />PHONE glJ- (Pdq -l/nl/ J <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # 11-d-lD 4 ~ I - cola -O/f'100 - 01 "S 0 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCT ION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />~\ PROPOSED <br /> <br />USE: OSGL FAMILY DWELLING <br />OCOMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br /> <br />o INSTALL <br />Q~ -~{)ob <br />o MOBILE <br />o OTHER <br /> <br />HOME <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />o SWIMMING POOL <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT <br />I L\. 0 ~ ~J I\J... - ^-..t<) () b <br />SQUARE FOOTAGE <br /> <br />APPROVAL <br /> <br />BUILDING SIZE <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 />o BUILDING <br /> <br />{)c <br />$ c:~tLDloO. <br /> <br />PERMITS REQUESTED <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 />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAl'1E <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 />BUILDER COMPAN~ .s.~e'-- ~L-.,../ <br />~ l~ STATE CERT OR REGIST I CC -CDSE,J<! r <br /> <br />SIGNATURE ..~.~.~........................~:::.~~~~:::::~.:.........~~.~. <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 />***************k**********~-****~*~~******************************* <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER r-:, ".tt.!. '-:/.;:,,";,: ' <br /> <br />SIGNAT~RE <br /> <br />COMPANY <br />STATE CER'T ~O~', RE@!S? ..~ <br />, . CITY PROCESSING,# ~ <br />, ,{' I ,,'f'/I, - - , ._' _.' - -, - t <br /> <br />/. ..;. *'* ** *'* ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *'* * * *.. '* ~ *....!; * *.J,* * * * * * * * <br /> <br />'..:;.1',; <br /> <br />~~' <br /> <br />'" <br /> <br />."".. .. <br />