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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th StrQQt, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br /> <br />OWNER'S <br /> <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # ~4-;;{~--;Z 1- O{)S-()-~()II;(Scgo <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br />OSIGN <br /> <br />o ADDITION <br /> <br />o MOVE <br /> <br />PROPOSED USE: ~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DATE RECEIVED /1:/74/63 <br />PLANS REVIEW FEE <br />f/ItSc.O 'PE'r<,M IT St;RVIL-f <br />l-<6~- <6;;lL( ~ 7'6"tlf <br />FL 33 '3<1:1... <br /> <br />~(. Y-,;k> <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />o ~10BILE HOME <br />o OTHER <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />Ufi lifY room <br />10 X ~ ,;1 <br /> <br />aL- c.5fo('~e.. Shed <br />SQUARE FOOTAGE eZ20 <br /> <br />BUILDING SIZE <br /> <br />HEIGHT ~~ pal\. S <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 />NIifu)~rJRk/L <br />PERMITS REQUESTED ~ SICSrJ r1N0 S6ftc <br />VALUATION OF TOTAL CONSTRUCTION fi..E.fAJft1io('l5 <br />AMP SERVICE 0 FLORIDA POWER 0 W.R.E.C.~l~ 1r() <br />ft1i4t11 rmrf~"'" <br /> <br />E('BUILDING <br /> <br />$ <br /> <br />u;;r ELECTRICAL <br /> <br />Ii? PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />o OTHER <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />P FRAME <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />BUILDER <br /> <br />o STEEL <br /> <br />f<-OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />i~~ <br /> <br />COMPANY Owner <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />I <br />*******************/****************************************** <br /> <br /> <br />COMPANY DLuVl~r <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br /> <br />PLUMBER <br /> <br />**************************************** <br /> <br />-.SIGNATURE <br /> <br />SIGNATURE <br /> <br />COMPANY DwnU' <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />************************************* <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />*********************************************************~******* <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br />