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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 / 12 I <br />DATE RECE IVED / /' /(.:..3 <br />PLANS REVIEW FEEl <br /> <br />JOB ADDRESS <br /> <br />;~ ~p/Z-j Jt; /Z--.,L I Cj <br /> <br />,., <br /> <br />3?o36 ~ 4v/C-. <br /> <br />PHONE 7f!);L - ? c,c0S- <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # /2 - 2-G - z- I -DOOZ,q. _co L $c (':)-O&;C <br /> <br />(OBTAIN FROM PRO~Y TAX NOTICE) <br /> <br />WORK PROPSED: o NEW CONSTRUCT ION o ADDl TION o ALTERA'l' ION o REPAIR o INSTALL <br /> DSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: ~GL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o t10BILE HOME <br /> DCOMMERCIAL o INDUSTRIAL o SWIMtlING POOL o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />I ~ X 1'0 I CtNtA2 r&k D V-, v.E- c.<..-/C '-) <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />._."~--~ <br /> <br />VALUATION .OF <br /> <br />! <br />( <br /> <br />TOTAL CONSTRUCTlO~t... <br /> <br />~. L( 0; 5'. <br /> <br />o BUILDING <br /> <br />$ <br /> <br />p~ <br />/5oC) <br />I <br /> <br />PERMITS REQUESTED <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 /> <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 AREAD YES <br /> <br />o NO <br /> <br /> <br />BUILDER ~ <br /> <br />SJGNAl'IlRE~~i~~ <br /> <br />COMPANY (!}tJfVG-t<- <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />*************************************~*************k********~***** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <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 />Cm1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />********************************************_L******************** <br />