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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 />JOB ADDRESS <br /> <br />t=A1' <br />s~7/4 <br /> <br />W i l h E~ <br />"Pt4.J).MQJTT AlJ, <br /> <br />PHONE <br /> <br />7Bd..7b~'l <br /> <br />OWNER'S NAME <br /> <br />SUBDIVISION J'JIPNA UJL.L.I/'E <br /> <br />LEGAL DESCRI PTION: LOT (S) 7q <br /> <br />BLOCK <br /> <br />PARCEL ID # 3S'.J~"d.I-(}J~D ..00000 - 07t:f-o <br />WORK PROPSED: IB'NE'w CONSTRUCTION 0 ADDITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />oALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: oSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />oMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />~ER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK ti)(~O' <br />l"'X"'o' <br />BUILDING SIZE _~ _~_ <br /> <br />.5Hlab <br /> <br />SQUARE FOOTAGE ;). 'i<) <br /> <br />HEIGHT <br /> <br />10 I <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY]O~?, <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ~\ <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. /---.. I <br /> <br />11) <br />$ :l- 000 .., <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />/~~ <br /> <br />~ILDING <br /> <br />PERMITS REQUESTED <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 /> <br />o [vfECHANICAL <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 />~RAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAo YES <br /> <br />~O <br /> <br /> <br />BUILDER <br />SIGNATU~~ <br />\ <br /> <br />" <br /> <br />~~ ~ J) <br /> <br />.A <br />J~-O~..'O.J <br /> <br />COMPANY Q","U <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 />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />