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<br />CITY OF ZEPHYRHILLS PERMIT 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 />LEGAL DESCRIPTION: <br /> <br /> <br />JOB ADDRESS <br /> <br />2/3--77;1 ~C:<I7' <br />( <br />::5' <br /> <br />OWNER'S NAME <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM-EEQPERTYTAX NO~ICE) <br /> <br />WORK PROPSED: DNEv.J CONSTRUCTION <br /> <br />o ADDITION <br /> <br />~LTERl\T ION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGt-J <br />PROPOSED USE: J8'SGL FAMILY DWELLING <br />DCOMMERCIAL <br /> <br />o MOVE <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />DSWIfvlMING POOL <br /> <br />Rf ~10BILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF <br /> <br />o <br />WORK 7Lfft~- pk, - <br /> <br />RESTAURANT & HEALTH DEPARn1ENT APPROVAL <br /> <br />~ ~() z: <br />I <br />SQUARE FOOTAGE <br /> <br />;{1c) <br /> <br />c~ f--S' . <br /> <br />BUILDING SIZE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COf\1MERCIAL: <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 />o BUILDING <br /> <br />$ cJ..56 < <br />/5d <br />, <br /> <br />02-- <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~. ELECTRICAL <br /> <br />AMP SF,RVICE <br /> <br />~ FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />J8l PLUMBING <br /> <br />o MECHANICAL <br /> <br />s <br /> <br />)04. <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAt1E <br /> <br />o STEEL <br /> <br />o OTHF:R <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PRO,JECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br /> <br />N <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*******************************k********************************** <br /> <br />ELECTRICIAN ~ ~ <br />SIGNATURE ~ d-I (! <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />CO~1PANY <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 />Cm1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />