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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTItBNT 5335 8t:h STREBT ZBPHYRHILLS, PL 33540 <br />Phone:813-780-0020 Pax:813-780-0021 <br />DATB RECBIVED <br />PLANS REVIEW PEE <br /> <br />OWNER'S NAME <br /> <br />IJI(~ rP/ II ~ <br />:? g> I .;L ~ I ~ ~5 ~ <br />, <br /> <br />PHONE CONTACT J(g'- 17~ (' <br /> <br />JOB SITE ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />[JADDITION <br /> <br />[J ALTERATION <br /> <br />[J REPAIR <br /> <br />[J INSTALL <br /> <br />[J SIGN <br /> <br />[JMOVE <br /> <br />[J DEMOLISH <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br /> <br />[JMULTI-FAM1LY <br /> <br />[J # OF UNITS <br /> <br />[JMOBILE HOME <br />[JOTHER <br /> <br />~)~ <br /> <br />*- t DESCRIPTION <br /> <br />[J COMMERCIAL <br /> <br />[J INDUSTRIAL <br /> <br />[J SWIMMING POOL <br /> <br />OF WORK <br /> <br />CJ RESTAURANT & HEALTH <br /> <br />:J~ y/,><- ~C <br /> <br />DEPARTMENT APPROVAL <br /> <br />C?A4'~t? ~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />R~SIDENTIAL: <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 />PERMITS REQUESTED <br /> <br />[J BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[J ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br /> <br />I <br />$ :s~')~ <br /> <br />~';;> <br /> <br />[J MECHANICAL <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES [J NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REG 1ST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />BLECT <br /> <br /> <br />****************************************************************** <br /> <br /> <br />/} COMPANY F II' <;: -C C' I ASS [k ('::/ .J!?, ~ <br />~/i STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />* ******************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REG 1ST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br /> <br />******************************************~t******~r**~~~ J ~~ , <br />COMPANY 1.t1I$~ ~~ ~V'-i ~ <br />STATE CERT OR REGIST fC.~ (j (') () .:<.;s7 a - fI1-t. <br />CITY PROCESSING # /J?-:L <br /> <br />MECHANICAL <br /> <br />******************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />