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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTMENT 5335 8th STREBT ZBPHYRRILLS, FL 3j540 <br />Phone:813-780-0020 Fax:813-780-0021 <br />DATB RECBIVBD ,11- / [I' () 3 <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME Rl <-eft 0 vd l? /TI/f-J .a- i! PHONE CONTACT <br /> <br />JOB SITE ADDRESS J 8 I 0 ~ )ov~ ~J-e . <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 />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <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 /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br /> <br />,*~t)!i1 <br /> <br />DESCRIPTION <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o OTHER <br /> <br />OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEP~TMENT APPROVAL <br /> <br />;? 7' I!N ~/c c., It 0 ~5fl ou/- <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 />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />D PLUMBING <br /> <br />$ 6f a....? ,8 C). b-<' <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D MECHANICAL <br /> <br />o GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />SIGNATUR~ <br /> <br />t/v? <br /> <br />7A- <br /> <br />COMPANY 4!-p/!,4 Efr.L ~ <=- <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />ELBCTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBJlR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br /> <br />*******************************************.********~********** <br /> <br />, COMPANyK I ~5~ C, ~ <br />STATE CERT OR EGIST # <br />CITY PROCESSING # / :3' ..2.... <br /> <br />MECHANICAL <br /> <br />OTRBR \. <br /> <br />COMPANY <br />STATE CERT OR REG 1ST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />