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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 />OWNER'S NAME ~V'j 't Q.Jl tV'1 ~ ti...h AIYI. <br />JOB ADDRESS ~St> (~-\1L- S t (lCLC-1- ~ <br />*' (DO 0 lb1-o <br />LEGAL DESeRI PT ION: LOT (S) S (Lv;""] f\b' BLOCK \llo <br />PARCEL 10 # "-21,...~ J-OOlt)-\1loD'D- ~Q <br /> <br />PHONE~3-7~"'Rl53 <br />3$5"~ \ ?>D~ <br /> <br />SUBDIVISION~. <br /> <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION o ADDITION )1ALTERATION o REPAIR o INSTALL <br /> o SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE:~SGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> OCOMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK (UV\~"t <3l\~ ~~dt>t--( O-ri\d ~"W1- f'O()('Y"'.-\o \~v~ s"'ftkl;<J <br />'d\::> 't: \'f SQUARE FOOTAGE 2~D HEIGHT <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL N W CONSTRUCTION. <br /> <br /> <br /> <br />jti, BUILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />8tUGD, W <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <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 /> <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: ~ BLOCK <br /> <br />~ FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES ~ NO <br /> <br />BUILDER ~ <br />SIGNATURE '~ lu~ Q ~~ <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />~~ <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN r <br />SIGNATURE ~ k~ <br /> <br />~~ <br /> <br />COMPANY ~ ~ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />********************************************************.k********* <br /> <br />PLUMBER <br />SIGNATURE ~ \-f\ <br /> <br />Cm1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <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 />