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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 />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />JOB ADDRESS 5'y O:J <br /> <br />~1)NCI.s W I /~)I{2-E 12- <br /> <br />q'fk.. -S,T <br /> <br />PHONE ~ ~9- 7" Ulo/ / <br /> <br />OWNER'S NAME <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 DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />DCOlvJMERCIAL <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 />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />!IV €.J{.L/ <br /> <br />;;;e~ L? /r e., y: P<-6Gt:J / ~ ho LL S -G <br /> <br />SQUARE FOOTAGE ".y-Ytt ~~ 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 FOR~IS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />BUILDING SIZE 2;;2.)( 2.c:> <br /> <br />2(30 <br /> <br />ALL WORK SHALL COMPL YW/1li ALL <br />PERMI T S REQUE STED PREV A1LING CODES, FLORIDA BUILDING <br />CODE. NA 110NAl ELECTRIC CODE AND <br />CITY OF ZEPHYRHlLLS ORDINANCES <br />VALUATION OF TOTAL CONSTRlJCTIOI'r ~C::.,?- NfTl1:::Nj4-\... <br /> <br />O 0 /2.-ui.L /2-.1 L <br />AMP SERVICE FLORIDA POWER W.R,E.C. <br />(u 1) ti.. <br /> <br />o BUILDING <br />~ELECTRICAL <br /> <br />$ <br /> <br />o PLUMBING <br /> <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 />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />********************************************************,~********* <br /> <br />EI&CTRIC"?)- r- ;< ~ _ <br />SIGNATUR ~ <br /> <br />********************************************************~~********* <br /> <br />COMPANY 8/JY.t'o.l!.:r G/e-(...:~Y..JL ~J"'J//U6 .:::ZN0 <br />STATE CERT OR REGIST # E c..C'>t!}o;< d..i 1 <br />CITY PROCESSING # ;;:::e.-,OJ, t:-rt./J/t.5 <br />r <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />************************'k*kk****************************~********* <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 />