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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FI" 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECE IVED II //3/ [) '3 <br />PLANS REVIEW FEE I ~--_ <br /> <br />OWNER'S NAME <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />.:3 F/ 7rJ r: <br /> <br />17 a u ./ ,/ T e Y' f <br /> <br />l\''':' ./ <br />I IV <br /> <br />Z e.l ;,,' y' /:,', "I l /., <br />. <br /> <br />- '1' :;) jJ.yCJ <br />-- ....." ,. <br /> <br />LEGA.L DESCRIPTION: LOT (S) ,::; BLOCK <br />PARCEL 10 # 35- (}j-:fI- 0010 - /~(.;, 000.00 d <br /> <br />.sUBDIVISlO~(dUNTY 'j OJIl...s SCJt//1; <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o SIGN <br />PROPOSED USE:~SGL FAMILY DWELLING <br />OCOMMERCIAL <br /> <br />~ ADDITION <br />o MOVE <br /> <br />OALTERAT ION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />txl ~jJOBILE HOME <br />0' OTHER <br /> <br />DESCRIPTION OF WORK <br />(7 /X ..., I) / <br />BUILDING SIZE 0 "... <br /> <br />D RESTAURANT & HEALTH DEPARH1ENT APPROVAL <br />'.. ~ <br />C/o,<;e //1 e K "50'tI.} C <.'i y l~ Y I <br />, <br /> <br />SQUARE FOOTAGE <br /> <br />(~:;) <br /> <br />HEIGHT <br /> <br />."j I <br />,~-' <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS Of BUILDING PLANS & (1) SET ENERGY FORI'1S. <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 />!;8i BUILDING <br />Jxt ELECTRICAL <br />o PLUMBING <br /> <br />$ <br /> <br />~O(iO, ()(I <br />/;;0 <br />, <br /> <br />AMI:; SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />~ FLORIDA POWER <br /> <br />[J <br /> <br />W.R.E.C. <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 />.!t FRAt-'IE <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br />co <br /> <br /> <br />.':tON <br /> <br />********************************~.****************~***** <br />V / <br />ELECTRICI~""~L '#'--;;~' I COMPANY C (. frlhl.L/J_/ <br />STATE CERT OR REGIST # <br />SIGNATURE .;' , CITY PROCESSING # <br /> <br />V **********~**********************************~*~*******~********* <br /> <br /> <br />COMPANY f) 4,11').ti-' <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />-- <br />BUILDER "~/' <br />SIGNATURE /, <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 />COt1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />********************************************~*********.~+********* <br />