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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 cqf~Jb.. ~iU/ <br />JOB ADDRESS tP /0 (? ~ /VI.-I'cfl $.1 ' <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />PHONE <br /> <br />17q- ODS-c/ <br /> <br />SUBDIVISION rJJ~~ mil? <br /> <br />PARCEL ID # <br /> <br />()~ ~?> c2! <br /> <br />ooc:;? CJ ~t).!XJt/ iOBTAIN FROM PROPERTY TAX NOTICE) <br />, 00/0 <br />~DDITION OALTERATION o REPAIR o INSTALL <br />o MOVE 0 DEMOLISH <br />OMULTI -FAMILY 0# OF UNITS o MOBILE HOME <br />o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />OSIGN <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />OCOMMERCIAL <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT <br />&r-etJ/J/~ <br /> <br />& HEALTH DEeARTMENT AeeROVAL ~ <br /> <br />ILJ (l~r?~ . cy- <br /> <br />SQUARE FOOTAGE ~T <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (I) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <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 />~ MECHANICAL $ ~~(?t?~ VALUATION OF MECHANCIAL INSTALLATION <br />o GAS 0 ROOFING 0 SPECIALTY 0 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 AREAO 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 />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />*******************************************~***~*****~ ~t;. , <br /> <br />~ COMeANY.k..v (;2,.') ~ <br />J .. /), /7 j STATE CERT OR REGIST # /)///9937 <br />~~CITY PROCESSING # /7/ <br /> <br />MECHANICAL <br /> <br />*******************************************************J~********* <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />************~******************************************~t********* <br />