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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />/'/ - /r{ - .:) '3 <br />DATE RECE IVED - - <br />PLANS REVIEW FEE <br /> <br />'1 <br />OWNER'S NAME V~/\~0( <br /> <br />JOB ADDRESS ( ) () <br />J <br />LEGAL DESCRIPTION: LOT(S) <br />/' <br />PARCEL ID # /1-- 2 ~ <br />\ <br /> <br />----- <br />''\ <br />!---;-f,1/\.. f1 - CA~ <br />,---........ <br /> <br />- c -::P.ff- <br />t{'f:;2 ! - ~..:-: ( - <br /> <br />PHONE <br /> <br />BLOCK SUBDIVISI~N <br />"" <0 0 UJ f) <br />-- ;L( ~ Q (!) (D ,-t/ I C( Q{JBTAIN FROlvJ PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION o ADDITION o ALTERATION o REPAIR o INSTALL <br /> o SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: 0 SGL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWH1MING POOL o OTHER <br /> <br />BUILDING SIZE <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />/I <br />,.>/(0l>'\~-..{''---1'' <br /> <br />S~ARE FOOTAGE <br /> <br />/ (/ " \ <br />I ,.. , ! <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <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 />,--", <br /> <br />."-' . <br /> <br />o BUILDING <br /> <br />PERMITS REQUESTED <br />,.;.2--..2 1 () VALUATION OF TOTAL CONSTRUCTION \ <br /> <br />::/1 <br />jJ). ..--. <br /> <br />,// <br /> <br />"- 'h__..,~ _.v,~"~'.' ....~..-.~ <br /> <br />..~......~r/~ <br /> <br />$ " <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o voJ.R.E.C. <br /> <br />o PLUMBING <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 />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />01'10 <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 />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />************************+***************************************** <br /> <br />PLUMBER <br /> <br />COlvJPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />S I Gl'JAT U RE <br /> <br />****************************************************************** <br /> <br />MECHANICAL COMPANY <br />STATE CERT OR REGIST # <br />SIGNATURE CITY PROCESSING # <br /> <br />i'~ * * * * * *','t * '* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *.!c-~ * * * * * * *.H H' H/" <br />'/ I /1/ . . // A f --V' .h4L---JI[~f7'-/. <br />OTHER ;/ (/\J-/k~fI-.(y:, .. COMPANY r/~F!.// "LAt{ <br />J / ;.') ... ~i;,'-:r: -----.--.- - . STATE CERT OR REGIST # (,/' / <br />SIGNATURE / . /J..., ,el!> , CITY PROCESSING # t/ <br />I../I-'~/ t/t' <br />! I/_/"--/' <br />I ~~*~*****************************************************~******* <br />v ....-' <br /> <br />-;7",,- <br /> <br />