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<br />CITY OF ZEPHYRHILLSPERMIT 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 />OWNER'S NA~1E ~ ~P"~6-h,'(t.."~ /(- P/\wv-r <br />JOB ADDRESS ~3~3 5~~\"~, r;'fd-:2 <br />LEGAL DESCRIPTION: LOT (S)~\V\.G....~ BLOCK <br />PARCEL ID # <br /> <br />PHONE 3:xa- O~~ -=7 '1 \.{ i <br />G~ bfvJ . <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: oNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />oALTERAT ION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />oSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DCOMMERCIAL <br /> <br />oMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# Of UNITS <br />o SWH1MING POOL <br /> <br />o W)BILE HOME <br />o OTHER <br /> <br />PROPOSED USE: oSGL FAMILY DWELLING <br /> <br />BUILDING SIZE \Q.J\-\- <br /> <br />D RESTAURANT & HEALTH DEPARn1ENT APPROVAL <br /> <br />:) '-.~ \ .:. t-- ;? .5~\-,..n', ~\ L t.J.... ~ " <br />~DX ~O SQUARE FOOTAGE ~QX~C:J <br /> <br />s1~o\J,1 <br />" \l..{\. ~ f~ 31r ~ 5 <br />I <br />HEIGHT Qo <br />- <br /> <br />DESCRIPTION OF WORK <br /> <br />RESIDF:NTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SF:T ENERGY fORMS, <br />ATTACH (3) SETS OF BUILDING PLANS & (I) 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 /> <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 />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o 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 />SIGNATURE <br /> <br />)r~ <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />ELECTRICIAN <br /> <br />********************************************************k********* <br /> <br />COt-1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />