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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 ///?6/ C .3 <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />PHONE '%/3 - 7fJ"3 - 2-3a 9 <br /> <br />SUBDI VI S ION <br /> <br />( QB.'ffiLtLE:.RDM PRO PEJITY TAX NOT ICE) <br /> <br />WORK PROPSEIJ: 0 NEW CONSTRUCTION <br /> <br />~DDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERC IAL <br /> <br />DMULTI-Fm1ILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~10BILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ RESTAURANT & HEALTH DEPARTMEtJT APPROVAL _"" <br />SC!/~E-E-/JiNr;;.. IN /JIGE-A (~X/STIN~j- }(l&f7Lc.Lh. <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACII (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 BUILDING <br />0 ELECTRICAL <br />0 PLUMBING <br />0 MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAt1E <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />;1'h"~lLflFuN Or <br /> <br />~ II\..Y:- f\~ (y~L"1 <br /> <br />{rJlnt /1-LL ~l\~ <br />ZONE AREA 0 YES 0 NO <br />2~"""" '1.- ~~ril1:::-,'"<..y.>rl- <br />tL . """ \-Z." <br /> <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD <br /> <br /> <br />BUILDER <br />SIGNATURE ~ 'fg~ <br />o <br /> <br />*********************+******************************************** <br /> <br />COMPANY (?/~~ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />ELECTRICIAN JI2 <br />SIGNATURE f)u-IA.1'./ '1Ve1{f/ ~ - <br /> <br /> <br />***********************************************~********~********* <br /> <br />CO~1PANY t7&U/~ <br />STATE CERT OR REGlST # <br />CITY PROCESSING # <br /> <br />PLUMBER <br /> <br />COMPANY <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 />***************************************************************k* <br /> <br />OTHER <br /> <br />cm1t'ANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***********.****************************************************** <br />