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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th S.treet, Zephyrhills, F.L 33542 <br />813-780-0020 FAX: 813-780-0021 '0/7 !o < <br />DATE RECEIVED IJ, ~I _ <br />PLANS REVIEW FEE <br /> <br />(~-J!1~J 10/7 <br /> <br />OWNER'S NAME~e~ Brock <br />JOB ADDRESS 5Co ~ ~ gnond~ et-: <br /> <br />PA-$LD Pf"R""lf S€RVlC-e <br />PHONE 1-'8(0&- 8;2Y -7 gCft./ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDI VI S ION Sun c;e. t- E ~ t-CLt-~ c;. <br /> <br />PARCEL ID # L~-;l.G,-~'-O~IO-OcoaJ-O(d=10 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />OSIGN <br />PROPOSED USE: ~GL FAMILY DWELLING <br />OCOMMERCIAL <br /> <br />J8:l..ADDIT ION <br />o MOVE <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />OMULTI - FAMIL Y <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o ~10B I LE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK AlUV\ll;v\ulN'L C::t..rport- in I'so~bt-e:.rs. <br />BUILDING SIZE I D X ~O SQUARE FOOTAGE 3co HEIGHT -See.. p1a.~ <br /> <br />RESIDENTIAL: <br />cm1MERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~UILDING <br /> <br />PERMITS REQUESTED <br /> <br />$ 13:.m.ro <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W. R. E, .c-:"-~.~ <br />"..,/ , <br />/' <br />/ <br /> <br />'\ <br />J <br />{pl$'/ <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATI <br /> <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 />SIGNATURE <br /> <br />~~ <br />(' . ptZ.1J.. Cor rei CJ...; <br />****************************************************************** <br /> <br />COMPANY SUI") s-kJ-~ ~lIl1AA.'~tH"",-, <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br /> <br />Cm1PANY <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 />***************************t************************************** <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 />