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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 />OWNER'S NAME ~ rJlr1;ndD.- LtJ.ebs.t-er
<br />I
<br />JOB ADDRESS ?A 4 5:3 Cj ~ 41I'-L
<br />
<br />PHONE rl~8 - 4 ~ ~7
<br />
<br />LEGAL DESCRIPTION: LOT(S)
<br />
<br />BLOCK
<br />
<br />SUBDIVISION
<br />
<br />PARCEL ID # I d-~~(g~a). 0300 -oODcO-OlQO
<br />
<br />(OBTAIN FROM PROPERTY TAX NOTICE)
<br />
<br />WORK PROPSED: ONEW CONSTRUCTION 0 ADDITION OALTERATION 0 REPAIR 0 INSTALL
<br />OSIGN 0 MOVE 0 DEMOLISH ~-'2. -...A.....006
<br />PROPOSED USE: OSGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS 0 MOBILE HOME
<br />
<br />OCOMMERCIAL
<br />
<br />o INDUSTRIAL
<br />
<br />o SWIMMING POOL
<br />
<br />o OTHER
<br />
<br />DESCRIPTION OF WORK
<br />
<br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL
<br />0)\ P S}.,~~IC ,11 -/tOl
<br />SQUARE FOOTA
<br />
<br />HEIGHT
<br />
<br />BUILDING SIZE
<br />
<br />RESIDENTIAL:
<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 />
<br />00
<br />$ ,3\~55
<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 />
<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 OT HER
<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 />SIGNATURE
<br />
<br />
<br />COMPAN~ ,5,Jra,QJ~ ~L~.~(
<br />STATE CERT OR REGIST j CC-cO /Jt/
<br />CITY PROCESSING # ~X~
<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 />******************************************************************
<br />
<br />MECHANICAL
<br />
<br />COMPANY
<br />STATE CERT OR REGIST #
<br />CITY PROCESSING #
<br />
<br />SIGNATURE
<br />
<br />*****************************************************************
<br />
<br />OTHER
<br />
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<br />
<br />SIGNATUR~
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