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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 RECE :j:VED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAt"lE "12Ju~h <br />JOB ADDRESS 67L/~ <br /> <br />.L ;3 ir~+ <br />1I'tJ1 Sf. <br /> <br />PHONE <6/3 - r;g~ - ~&5'-1 <br /> <br />ZepAyLh;//s <br /> <br />FL, <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />OSIGN <br />PROPOSED USE:~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION OALTERAT ION o REPAIR o INSTALL <br />o MOVE 1i DEMOLISH <br />OMULTI-FAMILY 0# OF UNITS o t'lOBILE HOME <br />o INDUSTRIAL o SWIMtlING POOL o OTHER <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />0tv\"'~ <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK --:S>~-'0'C'\~-\-..Or.. D.(.- 0.....- .s1~1€-. ~A~l'i <br />BUILDING SIZE SQUARE FOOTAGE I/)t;; Lj <br /> <br />. <br /> <br />fe.5lden~ <br />'1D' <br />HEIGHT cZl- <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 />0 BUILDING <br />0 ELECTRICAL <br />0 PLUMBING <br />0 MECHANICAL <br /> <br />;<^ <br />$ .// ~(; " G-f) <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.E.E.C. <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: ~ BLOCK <br /> <br />~ FRA!1E <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 />~^ ^^, <br />;~;ON <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />*************************~*************************-k********+***** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />PLUMBER <br /> <br />*****************************************************************~ <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />******************************************+**********~**.k******** <br /> <br />SIGNATURE <br /> <br /> <br />Cm1PANY (l.J!./)SS E..o(///2{)I'7ml/jfal 5~~VYL:-:-S ~N~ <br />STATE CERT OR REGIST # C-C1.WiJ; -;}q 61 ' <br />CITY PROCESSING # <br /> <br />OTHER <br /> <br />*******************************************************+k***** <br />