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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 J I <br />DATE RECEIVED /0/:2 r IO~ <br />PLANS REVIEW FEE ____." <br /> <br />OW"'R'S "AMEJ2~u){;1 -+ 8trrj Gt:I'JF GR.AVPS <br />JOB ADDRESS_ '-/-g.Js" CJTrA6-E LN- / 2 E.p J-/ YR..HILLS, <br /> <br />PIlONE(~/3) 71J(J - dJ/;;. 7 <br />PAS{l.6. 33S-4d.- <br />, <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL 10 # 14 ~lo d./ 0120() ()O~O() (}()OIJ <br /> <br />SUBDIVISIOU <br /> <br />(nB1A1N-ERQMLPROPER~Y-T8X NOTICE) <br /> <br />WORK PROPSED: DI'lEW CONSTRUCT ION <br /> <br />PROPOSED <br /> <br />DSIGN <br />USE )QSGL F'A~1nY <br />o <br />COM~1ERCIAL <br /> <br />DWELLING <br /> <br />o ADDITIOll o ALTERATION o HEPAIR [J INSTALL <br />o 1'10VE 0 DE~10LISH <br />OMULTI-FAMILY 0# OF' UlHTS o ~10BILE HOME <br />o INDUSTRIAL o SWH1MING POOL o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT & HEALTH DEPARTl1ENT APPROVAL <br /> <br />R-.6,- f<{)()F SINGLE PLI.} I2Uf5BE~ fY)EfrJBR19NE <br />I I . <br /> <br />SQUARE FOOTAGE 4 ()() HEIGHT <br /> <br />BUILDING SIZE <br /> <br />RESIDEllTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF' BUILDlllG PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW COllSTRUCTJON. <br /> <br />-."\ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />/,' . -- I <br />(#~/ <br />~------~ <br /> <br />..0"'BUILDI NG <br />o ELECTRICAL <br /> <br />$2~5t/ <br /> <br />PERMITS REQUESTED <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o H.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br />o GAS )( ROOFING <br /> <br />$ <br /> <br />VALUA'I'IOti OF MECHANCIAL INSTALLATION <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF C0I1STRLJCTION: 0 BLOCK <br /> <br />o F'RAI1E <br /> <br />o STEEL <br /> <br />J2}()THER <br /> <br />FIlHSHED FLOOR ELEVATIONS <br /> <br />I S PROJECT I N FLOOD zom: ARF,A 0 YES 0 NO <br /> <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*************k**********l***************~*******~.*k*************** <br /> <br />ELECTRICIAN <br /> <br />COHPAllY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*************k**************************************************** <br /> <br />PLUMBER <br /> <br />CDt1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />CDt1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*****************************************************A**********k <br /> <br />OTHER BR.../ AN SmVEI?- <br /> <br />SIGNATURE <br /> <br />CDt1PANY JNV1JV~ IJ3L~SSCJt21krESJ IA/(l~ <br />STATE CERT OR REG [ST # .' 0 'I93~ 7 <br />CITY PROCESSIllG # <br /> <br />******************************~*****k*****j'******k****~***~**k~** <br />