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<br />CITY OF ZEPBYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ Street, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 I 01 I/)3 <br />DATE RECEIVED 11/'-1 (I. <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME fYl~-U 5lhu J~~r PHONE <br /> <br />JOB ADDRESS 3~ 1b t Lv i ndJ!fC!t/J2Y) ,<)f~JMleW,. ~l ) ~ if.- :3 39f00 <br />LEGAL DESCRIPTION, LOT(S) BLOCK SUBDIVISION 5J~ff J.k /ftnJ <br />PARCEL 10 It (7J..-;')h-J-!- W-fdJ-Do{)()(j-()obD (OBTAIN FROM PROPERTY TAX NOTICE\ <br />WORK PROPSED: DNEW CONSTRUCTION ~DDITION o ALTERATION 0 REPAIR 0 INSTALL <br /> <br />DSIGN <br />PROPOSED USE:~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />oMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK -pafrD CDvet) shd I Con Cfe.+V <br /> <br />BUILDING SIZE 1:J... 'I- :;....~ SQUARE FOOTAGE.:J..4:>~ ~ <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 /> <br />PERMITS REQUESTED ~ <br /> <br />HEIGHT <br /> <br />o BUILDING <br /> <br />$ <br /> <br />'3~40 tJO.. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <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 />o MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />~RAME <br /> <br />o STEEL <br /> <br />~THER tA I"v rn ( u..yY\. <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />BUILDER L . COMPANY AIUI'VlIy.,,,,~ <br />. ~ ,) <br />SIGNATURE ~~_ ~i~~E P;~~~S~~N~E~'ST i - - , <br /> <br /> <br />~ * ************************************************************** <br /> <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING It <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING It <br /> <br />SIGNATURE <br /> <br />***************************~************************************** <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST It <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING It <br /> <br />SIGNATURE <br /> <br />*********************************************************~******* <br />