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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 J~/I'7 /(J ~ <br />PLANS REVIEW FEE' <br /> <br />,JOB ADDRESS <br /> <br />Il-mel2-lCA--N Vel, .f1;.sr 5""5"0 <br />~/3(p n J41J~ kPHYfl,,#Il.-~S <br /> <br />PHONE <br /> <br />OWNER'S NAME <br /> <br />Ft.,.. 3 ~Sl./:L- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: 0 NEt') CONSTRUCT ION <br /> <br />o ADDIT ION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br />DALTERAT ION 0 REPAIR ~lSTALL <br /> <br />PARCEL 10 # <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />DCOMMERCIAL <br /> <br />D~1ULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o ~10BILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />A/){) .!1-t>/)lltONA-L 61t&/lrhl!.- ~L etJ./-IIJ/) Mil-. <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 />0(, r; <br />; l~ ~RI~./ <br />~ D/C~>/ <br /> <br /> <br />o BUILDING <br />~ELECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />/60 <br /> <br />FLORIDA POWER <br /> <br />o <br /> <br />"'~\ <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />W.R.E. <br /> <br />o OTHER <br /> <br />H i <br />,j'f..,- ~/n 50 · / <br />VALUATION OF MECHANCIAL INSTALLATIO,N i1 r . <br /> <br />I , <br />; <br />\ .~~....,,, <br /> <br />..\..........-....---.....-..-"......"'... <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />o PLUMBING <br /> <br />o MECHANICAL $ <br /> <br />o GAS 0 ROOFING 0 SPECIALTY <br /> <br /> <br />TYPE OF CONSTRUCTION: ~LOCK <br /> <br />o FRAt1E <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br />g9t4'R,~e,~,~ <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />********************************~****~*************k*k************ <br /> <br />SIGNATURE <br /> <br />~~ <br /> <br />COMPANY ,OOIJ bJA-~IJt..L ute.... <br />STATE CERT OR REGIST # E.c,/ '3 () 0 I".g 7 <br />CITY PROCESSING # <br /> <br />ELECTRICIAN <br /> <br />*******************************************************.*********** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />COMPANY <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 />MECHANICAL <br /> <br />***************************************************************k* <br /> <br />SIGNATURE <br /> <br />Cm1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />OTHER <br /> <br />*************************k*****~*********************k*********** <br />