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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 I/; a IJ "'2 <br />DATE RECE IVED - I I - =::J <br />PLANS REVIEW FEE . <br /> <br />OWNER'S N~-\-<-'c.."- <br />JOB ADDRESS 3~ I "20 <br />LEGAL DESCRI PTION~f{dl/~) <br /> <br />\(.r'\O pP <br />l.oi-' <br />~f-L.. <br /> <br />PHONE <br /> <br />\\ \\"clb'3 <br /> <br />'=C J.-.. -J J/ <br />~ Ilve., <br />{tvp, <br />BLOCK SUBDIVISION <br /> <br />PARCEL 10 It <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />(OBTAIN FROM PRO~rY TAX NOT~L-- <br />OALTERAT ION I2(REPAIR 0 INSTALL <br /> <br />OSIGN 0 t-'JOVE 0 DEMOLISH <br />PROPOSED USE: OSGL FAMILY DWELLING 'ttMULTI-FAtHLY 0# OF UNITS <br />OCOMMERCIAL 0 INDUSTRIAL 0 SWIMt-lING POOL <br /> <br />o t10BILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF <br /> <br />D RESTAURANT <br />WOR;\:<~A <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />e~ <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 />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$)t;rtJ:tJt) <br />AMP <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL $ <br /> <br />o GAS ~OOFING 0 SPECIALTY <br /> <br /> <br />TYPE OF CONSTRUCTION: ~ BLOCK <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <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 />4,/ 4J ~ <br /> <br />-- <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING It <br /> <br />A( <br /> <br />BUILDER <br /> <br />***************************************************'k************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST It <br />CITY PROCESSING It <br /> <br />SIGNATURE <br /> <br />****+************+*+***********+*+******+******+**k*************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />. CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*************************************************************-k+*** <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST It <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />CGt1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />