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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 />OWNER'S NAME <br /> <br />G-P_~ J /1<., A I~.LJ~ <br /> <br />PHONE <br /> <br />.- <br />JOB ADDRESS /.. (., 170 <br /> <br />:;.7yuy <br /> <br />/v ~_ {<..."'''7 itv' .~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />(OBTAIN FROM PROPERTY TAX NOT~CE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o SIGN <br /> <br />o ADDITION OALTERATION o REPAIR o INSTALL <br />o MOVE 0 DEMOLISH <br />OMULTI - FAMIL Y 0# OF UNITS ~ILE HOME <br />o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />)11 }i <br /> <br />BUI LDING 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 ELEC'!'RICAL <br /> <br />A~1P SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o ~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 ZOl'-lE AREAO YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE -L::!~.......... L7.,._.A~ <br /> <br />.-',,' J. I' <br />COMPANY 8~/1<.~ Ii ~ V <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />*********************************************************,********* <br /> <br />SIGNATURE <br /> <br />LV':r- LZYiJilI <br /> <br />COMPANY J<7c.. ~ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~Jc';r-~~J <br /> <br />.- -::: 'f p <br />COMPANyO'~/{C'--"/ / L v <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />PLUMBER <br /> <br />*i**************************************************************** <br />MECHANICAL COMPANY .rJ '-:. "- <br />J STATE CERT OR REGIST #, <br />SIGNATURE L...,l ~- ~--I,~/ CITY PROCESSING # <br /> <br />*.~*************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br /><<:::~ <br /> <br />,1 <br />.~ <br /> <br />***************************************************************** <br />