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<br />(C. ~ 0 ,(l:-e" (" <br />'''---" '.-' , J"-' ~'- <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION "<,s >r -<.,'-I'-\-ILOS- <br />BUILDING DEPARTMENT 5335 8th Street, Zephyrhi11s, 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 />~\SS <br /> <br />0.. L-f e..r.c Q -\- (1\ a " " e <br />d- t 'iL S+ r e e--\- <br /> <br />0\ Ll 0 BLOCK CJ()lO() <br />\ ~ - ~6- &\~ \)O\..O~ 00\.00-. O\ll 0 <br /> <br />(~~r <br /> <br />\.-l \ r V <br />PHONE ~ t'~- -j \ ~.~ ~J1. <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION <br /> <br />p '\, \\<2 C r <.:8- -\- <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: o NEW CONSTRUCTION o ADDI TION 'qALTERATION o REPAIR o INSTALL <br /> o SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE :~L FAMILY DWELLING oMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERC IAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />~~ ?~CtC e ~ \.q-~\,(,)ON~) ~ '" (<2... ~)\ S"i? c:. <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~NG <br />o ELEC'l'RICAL <br /> <br />OL' <br />$ '":+ \ ~~\ <br />, <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W,R.E.C. <br /> <br />o PLUMBING <br />o tvlECHANICAL <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 />SIGNATURE <br /> <br /> <br />~~ \--\l)vV\~ D e.l~\ ~.",~\ U'~S <br />COMPANY <br />STATE CERT OR REGIST #C\...zC (y:S,y,'.)O(') <br />CITY PROCESSING # C"") L~ b \.\ ?? <br /> <br />BUILDER <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 />*********k**********************************************.********* <br />