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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 / c9- -It) -0 ~ <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME~~alA4. mjler <br />JOB ADDRESS 3gr;;/7 Sr oil:rolQ/e (T <br /> <br />PHONE g/3 -779 ~ ) 7;;.9 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # O;)-J.&~d/~OcJ-OO-OOOOO,007() <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o SIGN <br /> <br />o ADDITION <br />o MOVE <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />OCOMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />HEIGHT <br /> <br />RESTAURANT & HEALTH <br /> <br />TMENT APPROVAL <br /> <br />BUILDING SIZE <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 />o BUILDING <br /> <br />/,.. <br /> <br />_ 0" PERMITS REQUESTED / (' ~i{P1 <br />$ Ac :) d-() VALUATION OF TOTAL CONSTRU(~ON <br />AMP SERVICE 0 FLORIDA POWER ~-.w:-R'~C~ <br /> <br /> <br />o ELECTRICAL <br /> <br />o PLUMBING <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 AREAO YES <br /> <br />o NO <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY tcu J j Scha/l/r ~~' ~ <br />STATE CERT OR REGIST' C - .J!? ~ <br />CITY PROCESSING # ~~d-- <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <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 />SIGNATURF; , <br /> <br />....' ....:. \-.J..,..;'iopt._I'J:~,:,"tl.- $'.""""'l.<;4 <br /> <br />.,;;...;f:- <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />* * *' * * * * * * * * * * * * * * * * *, * 1* * * * * * * * * * * * * * * * * * * * * * * * * * * * * -Ir,* * * * * * * * * j, * * * <br /> <br />:~ <br /> <br />,t.- ' ll" <br />