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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 I I J",? <br />DATE RECE IVED I b (<~ 1 / 0 <br />I I <br />PLANS REVIEW FEE <br /> <br />-- <br /> <br />OWNER'S NAME <br /> <br />~. <br />_> Jnl <br /> <br />(U~ J ..5 ()rL.... <br /> <br />PHONE 8/3 -- /,-Y-:,.j - 057; <br /> <br />JOB ADDRESS -), ~-.J I --r /J :5 I' ,; f'\ Il Dr, <br />LEGAL DESCRI PT ION: LOT (S) .I 0 BLOCK ~ ~ <br />PARCEL ID # ~c-2" ~J r-;.b^/I.} D{)3(JO (")/6C <br /> <br />SUBDIVISION .7 J", H-f!3 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <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 />~HER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />I~p)/)G.. i ~j <br />J /) x J.;2 <br /> <br />s~vrl <br /> <br />lU/ .5 ~ fc/ <br /> <br />( Btii J f- <br /> <br />5fu1d5) <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RES I DENTI AL : <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 />$ <br /> <br />II)oo~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />,...- <br />,./:-,.-..........._...., <br />,.I:;'>'" <br /> <br /> <br />// 45& // <br />~ <br /> <br />PERMITS REQUESTED <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 !.1CCllA1UCAL <br /> <br />" <br />'i' <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 AREAD YES <br /> <br />IE. NO <br /> <br /> <br />BUILDER <br />SIGNATURE ~~ <br /> <br />~J Q ~.~_ <br /> <br />-1 , <br /> <br />COMPANY L,/ tc;rn .e,'J-L- <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />********************************************************.k********* <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />********************************************************.k********* <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGlmTURE <br /> <br />********************************************************k********* <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 />