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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542 <br />, . A <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECE IVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME <br /> <br />EAS'1 ft:JSCv <br /> <br />m~A,(<-,l <br /> <br />PHONE "iS1'?. - 'l<{3 - L:/ ~-q <br /> <br />JOB ADDRESS .7050 &~ LL- 1)1 v() <br /> <br />2e.-p~'1rhl(15 -' it.., 33<;;1..( I <br /> <br />LEGAL DSSCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />35- ;;)s - ;) I . 00 i 0 <br /> <br />;030,:;..... OF.:.. <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 INS'l'ALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DE[vJOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COlvJMERCIAL <br /> <br />DMULT I - FAMIL Y <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 ~v~z <br /> <br />(:..,,-.-;4 ''') IU(,~- <br /> <br />,,- <br /> <br />lf1stAI\ <br /> <br />"<\oJ th~r ...." l P\"", ~, I... <br /> <br />~ '1 ~A <."" <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMlvJERCIAL: <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 />6s, '('IS -"~ <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 />o GAS ~OF'ING 0 SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 />BUILDER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />********************************************************1~********* <br /> <br />ELECTRICIAN <br /> <br />C0f'.1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />, <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 />SIGNATURE~ ~ ~~ <br /> <br />COMPANY (eAT'Me".. l<'-- <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***"k************************************************************* <br />