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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 IJ / ~/Oz <br />DATE RECEIVED It I ... .~ <br />PLANS REVIEW FEE <br /> <br />...-i; A _ . / ~. /J ;J J <br />OWNER' S NAM~("'-.7~ (k~ <br />JOB ADDRESS 3~7S(2 ~~' 2 .ey",,~ <br /> <br />PHONE OJ -) ?;J - yf' /I <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />.~",-,".~:~::'::-:::":':.~-- <br />... ~~l\'R€'EL~J!}~~~ ') <br />c.. '-.-."..__...::-_.,,,,,,,," ... / <br />WORK PROPSED: ONEv-J CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <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 DWELLH1G <br />DCOMMERCIAL <br /> <br />OMULTI-FA~IILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />.D(i t10B_ILE HOME <br />o OTHF:R <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br /> <br />DESCRIPTION OF WORK ~ <br /> <br />BUILDING SIZE J 7~ :2-1 SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SF:T ENERGYFQRMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. -~ <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, <br /> <br />! <br />'-fl)3UILDING <br /> <br />o ELECTRICAL <br /> <br />$ <br /> <br />&~oo' <br /> <br />./'. <br /> <br />PERMITS REQUESTED1!:};;L1 '::> <br /> <br /> <br />__ ...---" c ".- <br />VALUATION OF TOTAL CONSTRUCTION'.-__._..-....- <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W,R,E,C, <br /> <br />o nUMBING <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: 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 />~e>I'lI..s'~I.;sl'IIIQt4 <br />BUILDER ~ ................., ......'.~:~I~A~~<;t) 1l:nJ,~~/ <br /> <br />// A I // /}#., I' STATE CERT OR REGIST # <br />SIGNATURE&. .. '/"~~ C:~~ CITY PROCESSING # <br /> <br />***************************************************'k************** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />ELECTRICIAN <br /> <br />***********************************************************k****** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATUR.E <br /> <br />k*****************+***+*********+++****++**+*++******************* <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />SIGNATURE <br /> <br />Cm1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />OTHER <br /> <br />***********************************************************k***** <br />