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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 <br />PLANS REVIEW FEE <br /> <br />JOB ADDRESS <br /> <br />/....AA/jJ <br />o373;r2 <br /> <br />/1"'/112 ','~'""-~ <br />11) ~ <. .. !\ '--~ Ilt, ..~ <br /> <br />PHONE <br /> <br />OWNER'S NAME <br /> <br />/...\.'j""/I <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOT1CEl <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~LE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK )t/, /I' <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 t-'lECHANICAL <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 /> <br />SIGNATURE <br /> <br />"" ..~/J <br />{ ;.., "< ,>----'8...1 e-/. /Cy <br />- /' <br /> <br />COMPANY /)}=__LI. --/ {;/' <br />STATE CERT OR RE-CIST # <br />CITY PROCESSING # <br /> <br />BUILDER <br /> <br />*1.**************************************************************** <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />- ~/ # /) <br />L L' (. ':> "" /.hi ty.".~ ,/ <br /> <br />COMPANY /9,',--_ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />l. '~"(,?~../-,!,.."n.-~';> <br />;; <br /> <br />, , <br /> <br />COMPANY 0.: 1.( ;/ 1:. t <br />STATE CERT OR REGIST #, <br />CITY PROCESSING # <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />*~**************************************************************** <br />COMPANY /7.... "-- <br />STATE CERT OR REGIST #, <br />CITY PROCESSING # <br /> <br />L' <br /> <br />, - '.1-./" <br />'7 -- 'Ll.L-It(/-- -/,. <br /> <br />MECHANICAL <br /> <br />*.~*************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />';::t'~ <br />""'.' <br /> <br />***************************************************************** <br /> <br />,1 <br />,~ <br />'1' <br />