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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 />N B/fUL- #-,fR- <br />F~ <br /> <br />'J'-Cb ! It <br />IC/ ^-'7i ~ <br /> <br />PHONE <br /> <br />OWNER'S NAME <br /> <br />f:> 1- 3 Cf <br /> <br />tLEGALDESCRIPTION: LOT(S) BLOCK <br />PARCEL 10 it 0; '-7...-f> ~ 2-1 - (:) t))D~ 0 Cf6t:>o - Do I D <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM ~eERrY TAX NOTICE) <br /> <br />WORK PROPSED: DNE~7 CONSTRUCTIm7 o ADDITION DALTERATION o REPAIR o INSTALL <br /> DSIGN o MOVE ~EMOLISH <br />PROPOSED USE: DSGL F AM IL Y DWELLING DMULTI-FAMILY 0# OF UNITS o ~JJOBILE HOME <br /> DCOMMERCIAL o INDUSTRIAL o SWn!~lING POOL o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~1;+(~V1 ~ 2-IYl-li. <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 />0 BUILDING <br />0 ELECTRICAL <br />0 PLUMBIN(; <br />0 MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <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 AREAD YES <br /> <br />o NO <br /> <br />BUILDER COMPANY <br />STATE CERT OR REGIST it <br />SIGNATURE CITY PROCESSING it <br /> <br /> <br />'~','_~~,r~ON <br /> <br />****************~ ******************~*************k***r********** <br /> <br />ELECTRICIAN COMPANY <br />STATE CERT OR REGIST it <br />SIGNATURE CITY PROCESSING it <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 />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST it <br />CITY PROCESSING it <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />Cm1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING it <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />