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<br />CITY OF ZEPBYRBILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ 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 /> <br />SUBDIVISION' <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID i ~ :J.. 6 ~ .;2/-<J06{). 00600 - .J-'f90COBTATN <br /> <br />WORK PROPSED: NEW CONSTRUCTION 0 ADDITION o ALTERATION <br /> <br />FROM PROPERTY TAX <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o S}GN <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 />DESCRT PT TON OF WORK COn crlbfe. .j. p wm h, '!5 <br />BUILDING SIZE I () X ~ SQUARE FOOTAGE d-w <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FO,I)t1S. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />VALUATION OF <br /> <br />TOTAL CONSTRUCTION <br /> <br /> <br />or~CitY:J- <br /> <br />\ (J) <br />MECHANCIAL INSTALLA ION <br /> <br /> <br />o BUILDING <br /> <br />$ LfDfJ() ~ <br /> <br />PERMITS REQUESTED <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE 0 <br /> <br />FLORIDA POWER <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF <br />o OTHER <br /> <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />~THER Con Cfdc.- ~ la.b <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />SIGNATURE <br /> <br />.~'HI*;@2~:~;:~ <br /> <br />~~t:;~ <br /> <br /> <br />****************************************************************** <br /> <br /> <br /> <br />BUILDER <br /> <br />COMPANY OfP"'-VL. <br />STATE CERT OR REGIST H <br />CITY PROCESSING H <br /> <br />SIGNATURE <br /> <br />COMPANY OW~ <br />STATE CERT OR REGIST H <br />CITY PROCESSING # <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />4~ <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 H <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 />**************************************************k****.*****.*** <br />