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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 Ja -/0 -0 ~ <br />, <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME ~aAb;\~ m\ \ I J? r <br />JOB ADDRESS ~ if s ~ IS c... D-t-I-t- o',,,,l-e ~, T <br /> <br />PHONE Q)J ~ 779 - J 7,J'? <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # 0.+ -d-.l O' a I' Oa-OD- 'OmOo- 00'/0 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <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 COMMERC IAL <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 />RESTAURANT & <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />SQUARE <br /> <br />HEIGHT <br /> <br />PARTMENT 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 ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />/'. <br />/ ) <br />/ tI.~f -j?h..~ -/ J ' <br />1-1~ <br /> <br />W.R~ <br /> <br />o BUILDING <br /> <br />$ <br /> <br />'\)0 <br />q,l\C/O, <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o <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 /> <br />SIGNATURE <br /> <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />BUILDER <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 />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 />***************************************************************** <br /> <br />OTHER Cm1PANY ...."'""".~.~.~.~'''"'',.,IO,,,~..,~.," ~ <br />. .. _. STATE C TOR-'RJ<:G'Sr'!F"" <br />.' '1.'..............<1> ...~..6,...,....'....~"......................1 .!.., ."1-.';,;, .:,:<;(.'\uC;' , <br />SIGNATUrE 'o;'''';;''\i.':<_' '''~'d' '. ',.+ CITY PR ESSING jt.~.,..~. <br />~. .>1"<;,' ,: :;0'; .. .., 'i," .\ f . '. .;,'~:',".' <br />,\~~,~{..lk**:..v"'....'>>i~* ** ;-*,* *',*ti *.;.. *~* * * * * * * * * * * * * * * * * * * * ~..* * * *H~f'f' *.* *-* * k';':'; t, * * * * * <br /> <br />,. "'."':::;.;,.1\.:..;' ~., ",y;" ~ " '.' ~." <br /> <br />11--,~.f"'~"" .~.tV ~.." >' '''f~:''''::rr'''- .;: <br />