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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 RECE IVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME Fi<4/'VC/S <br />JOB ADDRESS 5Lfo...3 <br /> <br />17ft IV Z- t5 JC- <br />q ih S'T <br /> <br />PHONE f!/3- 0;).1- lfC5cll <br />? e"fJh'j yo h. / (S I Ft.. 3'35''/ C- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />(OBTAIN FRO~-ERQEERTY TAX NOTICE) <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o l\LTERAT ION <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 DWELLING <br /> <br />o COMMERC IAL <br /> <br />oMULTI-F'AMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIt-'lMING POOL <br /> <br />o ~10BILE HOME <br />o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMF:RCIAL: <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 NEW CONSTRUCTION, <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />A:f PLUMBING <br />1tf MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W,R,E.C. <br /> <br />$ <br /> <br />';SCJO .~ <br />o SPECIALTY 0 <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />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 />SIGNATURE <br /> <br />COMPANY ~\\~ IN~~ ~~m~ '~'5~ <br />STATE CERT OR REGIST # .. 0 -;;;l <br />CITY PROCESSING # <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />~s 7Lu"'~iN~ <br />I,. Jp JjJ~c~ <br /> <br />****************************************************************** <br /> <br />7J lJW) bl><-9 <br /># t< F 052 b (;) <br />jqJO <br /> <br />COt-1PANY W\. \, \ ~"""q <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />PLUMBER <br /> <br />******{********************************** <br /> <br /> <br />SIGNATURE <br /> <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />CDt1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*************+******************+*********+*+********+*********** <br />