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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 <br /> <br />M, ~lo7T r1tr'l/!/Z- f LOI'LI IJ. I1tC~UL <br />5''-/11 --J;;tJTff $'-r~~,e;- <br /> <br />PHONE p-- 7g-3 - 14Y9 <br />'* (!;ui- (gJ'~ ) 9 Z 7 -rfjff-l, <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) ~.l,~,q 10 BLOCK 156 SUBDIVISION CITY d~ 2 (i(}IIY/l.J.lI/..Lj <br />, , , ) <br />PARCEL 10 # II - 2" - '2....1 - 0010 -13(1)0 -()060 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />~INSTALL <br />;ilt. t/J1//r <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERC IAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />WOTHER <br />Ilan1f.. NOM S~ <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />5'hA.. <br />,).5' X 2S/ <br /> <br />A-rrlfCl+1<-() ~ <br />.., <br /> <br />i)1i77+:TCffLD ~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOT AGE S? 'I Sex. pr <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br />Smt-L- & 11/)/7l~lPI/'JpJ) 1}-5 NaN L\ 'JI,..!...& /tlLM <br /> <br />PERMITS REQUESTED <br /> <br />0{ BUILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />/, 99 I, 00 <br />/00 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br />76 <:3MA6-A- <br /> <br />~ FLORI DA POWER <br /> <br />o <br /> <br />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 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 />Y W <br />BUILDER ;f <br />SIGNATURe: ~ if ~ ap <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <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 />****************************************************************** <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 />