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<br />OWNER'S NAME <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 0/ ~ 9/0 "'A <br />DATE RECEIVED /. f - .".,.I <br />PLANS REVIEW FEE <br /> <br />'PtL~lO 'Pe...r t"\'\; +- 5erv((..~ <br />PHONE I ~ '6foG:,- ~ ;l-4 ~ 7~q t.f <br /> <br />JOB ADDRESS <br /> <br />J"1'Y\1 f rtLrt k $ <br />3'15/ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />P\JY'I+~ <br /> <br />, <br /> <br />3D\ <br /> <br />pro <br /> <br />SUBDIVISION E vYle.r~ ~I~t-~ <br /> <br />BLOCK <br /> <br />PARCEL ID it <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE! <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br />OSIGN <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: PlsGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />oMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />Oft OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ~ ~, la..na...L-- <br />BUILDING SIZE 1.2 X 32... SQUARE FOOTAGE 13<iS'-f <br /> <br />HEIGHT $~~ F~ <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />ti( PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W,R.E.C, <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />"0 OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />IKl- FRAM E <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />COMPANY <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 />SIGNATURE <br /> <br /> <br />COMPANY La..rrj M~ers Pl~/~ <br />STATE CERT OR REGIST # <br />CITY PROCESSING it <br /> <br />PLUMBER <br /> <br />*********************** ***~************************************** <br /> <br />MECHANICAL COMPANY <br />STATE CERT OR REGIST # <br />SIGNATURE CITY PROCESSING It <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*********************************************************~******* <br />