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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ Street, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 1~i1 J,~ <br />DATE RECEIVED /0 I~r II)...:::::> <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME R,4a.nt koe-w PHONE ~~~:~;~"-I~iE <br />JOB ADDRESS ~ !lJ.iJJmaJil1(', 1)(J &ner~IJlbIrrJ:, bftJrh)~ . <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />~'-f --4- ;;).-1 -(}D5{)!J.-OQt)(){J-<~Eib40BTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~EW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br />PROPOSED USE: ~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o ~10BILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />IL r; Idrg r (Yl rn -t- s -I-n-< 0 ff'- S h", d <br />'j. ;;...~ SQUARE FOOTAGE ~O <br /> <br />BUILDING SIZE <br /> <br />10 <br /> <br />HEIGHT f>ee r JailS <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />N (6. P J7gJ l.sJ rJKfJ' .~ <br /> <br />5\ &Y\J J' 5'*L- <br />VALUATION OF TOTAL CONSTRUCTION (iL6..J flt DN (~~-cL~ <br /> <br />o W.R.E.C. t~"T-r~V <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />~ BUILDING <br />~ ELECTRICAL <br />~ PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />AMP SERVICE <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />'0 OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />It( FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />SIGNATURE <br /> <br /> <br />J"A~:2~ <br /> <br />COMPANY tJWItK <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY CIA! 11M <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />ELECTRICIAN <br /> <br />- SIGNATURE <br /> <br />M'itJv, , <br />/f <br />PLUMBER <br /> <br />***************************~************************************** <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*********************************************************~******* <br />