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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br /> <br />BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 I (/ i../ () '2 <br />DATE RECEIVED 1 II :J <br />f <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME 6-^II/NJ Ifo"/~. <br />JOB ADDRESs-Lor '1"- j7:JY./" lJev~CJ" Au~ <br /> <br />PHONE <br /> <br />LEGAL, DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <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 />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~ILE HOME <br />o O'l' HER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />~tI 4~. <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 />o ELECTRICAL <br /> <br />A~1P SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o ~]ECHANICAL <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 AREAO YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br />SIGNATURE W9,--IZJ,~f) <br /> <br />COMPANY <br />STATE CERT OR R <br />CITY PROCESSING <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />(r<7-~4~ <br /> <br />COMPANY A ~ c.. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />PLUMBER <br /> <br />****************************************************************** <br /> <br /> <br />COMPANY. ~~~ <br />STATE CERT OR EGIST #_ <br />CITY PROCESSING # <br /> <br />SIGNATURE ~ ~ <br /> <br />-Ll~~ <br /> <br />MECHANICAL <br /> <br />*-**************************************************************** <br />/I~~ <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />~~ ~4~f..~ <br /> <br />*.~*************************************************************** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />.~-....;. <br />',," <br /> <br />*,r*************************************************************** <br /> <br />; ,~ <br />.~ <br /> <br />" <br />