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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th St, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME ....--~~~~ <br />5307 'ZoJL-I5sT <br /> <br />LEGAL DESCRIPTION: LOT(S) 1,2,.3>/4- <br />11.- 20 -2/ _ t:)(9{ b <br /> <br />Pll;?8-r~-'78c- ~ /748 <br />gec-LL-b'(3-Q 17- 6:/1 (4- <br /> <br />BLOCK j 7~ SUBDIVISION Ci1"-( ef d~~tJl!::?3 <br /> <br />- 17 ~o ,- OOC&TAIN FROM PROPERTY TAX NOTICE) <br /> <br />JOB ADDRESS <br /> <br />PARCEL 10 # <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />o SIGN <br /> <br />~DDITION <br />'--- <br /> <br />o MOVE <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />~ffJT <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMtlING POOL <br /> <br />o MOBILE HOME <br />~THER <br /> <br />, c=J RESTAURANT & ~EALT~ DEPARTMENT APP~OVAL () L <br />DESCRIPTION OF WORK 2.:fJLAu: ~t:> ~ 5 {~~~c ?t1\tIUkl> fiYL rwL ~r <br /> <br />BUILDING SIZE J2-'fJB t- 8/lt.AL~ SQU~RE FOOTAGE 4Sb* NoL <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 />0 BUILDING $ ~.dD VALUATION OF TOTAL CONSTRUCTION <br />0 ELECTRICAL P AMP SERVICE 0 FLORIDA POWER 0 W.R.E..C. <br />0 PLUMBING ~. . <br />0 MECHANICAL $ P VALUATION OF MECHANCIAL INSTALLATION <br /> ! <br />o ~ Gl~..s o ROOFING o SPECIALTY 0 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 0 NO <br /> <br /> <br />SIGNATURE <br /> <br />'~ <br /> <br />COMPANY !JZi.J><.{:7L (S <br />STATE CERT OR REGIST # <br />CITY PROCESSING # ~ <br /> <br />e~L17~ <br />CA2D3B1B7 ~ <br /> <br />BUILDER <br /> <br />********************************************+*******************~* <br /> <br />ELECTRICIAN <br /> <br />// <br />./ <br /> <br />COt1PANY <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 />SIGNATURE <br /> <br />* * * * * * * * * * * * ;/'* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />.'.1' <br /> <br />.,./ <br />***y{************************************************************ <br /> <br />OTHER <br /> <br />/// <br />./ <br /> <br />SIGNATURE /. <br />/ <br />/ <br />/ <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />*******************************************************~~********* <br />