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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 <br /> <br />DATE RECEIVED 11- /::( - tJ 3 <br />I <br />PLANS REVIEW FEE <br /> <br />OWNER'S <br /> <br /> <br />PHONE: '31:) - 7g-o - 0 () 3 0 <br />SL1 .l. <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM.,.ERQPERTY TAX NOTLCEl_ <br /> <br />WORK PROPSED: <br /> <br />o ADDITION <br /> <br />Ol\LTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSlGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br /> <br />i//)~ <br /> <br />~OMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o t10BILE HOME <br />ffi.OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />, ~ RESTAURANT & HEAlfH D~PARn1ENT APPROVAL <br />/T (( (! C;_J R 0 cull ,_/ 'I r b 15 Lv iJ 1'\ -e <br /> <br />SQUARE FOOTAGE ~ ~'o <br /> <br /> <br />e Mif." <br /> <br />/{J C/~,-Vp <br />\ (,: ,.\, I/-e <br />g A ~lj h";"'~ <br /> <br />BUILDING SIZE <br /> <br />-30 X f 5 <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 FORI1S, <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, <br /> <br />0 BUILDING <br />0 ELECTRICAL <br />0 PLUMBING <br />0 MECHANICAL <br />0 GAS 5JlROOFlNG <br /> <br />$~GfoJ95/1;3 <br /> <br />, <br /> <br />iSO <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />!B' FLORI DA POWER <br /> <br />[] <br /> <br />W.R.E.C. <br /> <br />$ ;VA <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: ~BLOCK <br /> <br />wFRAtJlE <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />I S PROJECT I N FLOOD ZONE AREA 0 YES <br /> <br />O"NO <br /> <br /> <br />COMPANY C C( (V'"'0-Sfruc--M1-1 jvcJ''', <br />STATE CERT OR REGIST # C C- COil 0 6 I.{ t~ <br />CITY PROCESSING # <br /> <br />BUILDER . <br />SIGNATURE ja>A~ ~ <br /> <br />*************************************~*************k***+****~'k**** <br /> <br />ELECTRICIAN ~ COMPANY C a. { l Y (~ <br />\/ ~;A/~./.L? STATE CERT OR REGIST <br />SIGNATURE ,~~i!f -. ~ CITY PROCESSING # <br /> <br /> <br />PLUMBER '::'~""""""~~"""'~"':::::::"c:'~~:~'".t5(;;~:::., <br />s IGNnTuRct (fi~t;;5. bz?z ~i~~E P;~~~S~~N~E;IST # . rOO '/1 S'I~ <br /> <br /> <br />****************************************************************** <br /> <br />6(e ct~t\ <br /># <br /> <br /> <br />MECHANICAL <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />~1PANY J {J~ Fv,,\ n e ( <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />r?tVI h.. <1 <br /> <br />~ <br /> <br />********************************************~******************** <br />