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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DE PAR_NT 5335 B~ Street, Zephyrhills, FL 33542 ~ ft. <br />813-780-0020 FAX:813-780-0021 10 13 D <br />DATE RECE IWD , I <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME~~ <br />-JOB ADDRESS ~____.~ <br />. LEGAL DESCRI PTION: LOT (S) , 12, +' ~ <br />. , <br /> <br />PHONE <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />. PARCEL 10 # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />. WORK PROPSED: 0 NEW CONSTRUCT ION <br /> <br />o ADDITION <br /> <br />pgALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />.Pq INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />(29. OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />/ <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL !? <br />Q&-k(lo( WMt! -Oma I Odc~ Jenu - ~ OJ':::h!i.~ imlK <br /> <br />SQUARE FOOTAGE HEIGHT (O~f <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 />40{),CJO <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <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 />o MECHANICAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />)i OTHER <br /> <br />\\(~ <br />tii <br />" <br />\,'.', <br />\ <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />~ OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAP( YES <br /> <br />o NO <br /> <br /> <br /> <br />BUILDER COMPANY I)tJ Nvr <br />STATE CERT OR REGIST # <br />SIGNATURE CITY PROCESSING # <br /> <br /> <br />******** ******************************************************** <br /> <br />ELECTRICIAN COMPANY <br />STATE CERT OR REGIST # <br />SIGNATURE CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST #. <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST #_ <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />