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<br />J <br />'=->C.v (: <br />ref. {\II, T <br />~ -Zs8( <br /> <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 /1 /I.E/O~ <br />I I. <br />PLANS REVIEW FEE ~ <br /> <br />OWNER'S NAME D (% ,..,j <br />JOB ADDRESS Sq 38 <br /> <br />k. NOW L -rO N PHONE <br />7 f..1'J S-r: Z.8PHtY~#/t..(,j Fe... 3.5J~ z <br />I <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br />WORK PROPSED: ~NEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />~ COlvlMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />I RR\ b A -rill 1'\ ~'1&I~ m <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o BUILDING <br /> <br />- <br /> <br />$ .2, iJOO <br />.6. <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />/.....-, <br /> <br />o ELECTRICAL <br /> <br />~P <br />~JfD <br /> <br />SERVICE <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />o <br /> <br />W . R~ E../C . /0 1 <br /> <br />/~..p // <br />/ <br />/ <br />\ -,,'f''''' <br /> <br />.'.",'.----------..--' <br /> <br />o PLUlvJBING <br />o t-'lECHANICAL <br /> <br />$ <br /> <br />i <br />VALUATION OF MECHANCIAL INSTALLATIO~ <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 S'rEEL <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 />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />Cm-1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <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 />***************************************************************** <br /> <br />OTHER I R ja, c;. ~..., C" ~ A (. -;:-" f\- e0l1P AN Y 1lt.1II. S rtUJlfI '" I If ft./ ~ 1/ -r;4 ~ <br />~ I? /1/1 STATE CERT OR REGIST # . <br />SIGNATURE ~ ~ ~ CITY PROCESSING # <br /> <br />* *****~~***k**********************************************~***** <br /> <br />S~tI.Vi,l; <br />