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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 />OWNER'S NA~~ <br />JOB ADDRESS( .__5~~( <br />LEGAL DESCRI PT!ON: LOT (S) I ~ \ BLOCK <br />PARCEL 10 # .15/6 a/~~~ 01 <br />WORK PROPSED: ~EW CONSTRUCTION <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />PHONE 3t ~ Cii ~5 ~ :5-0 <br />Em~ (COw J <br />SUBDIVISION ~ <br />(OBTAIN FROM PROPERT TAX NOTiCE) <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: ~GL FAMILY DWELLING <br />o CO['1MERCIAJ~ <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />DKMOBILE HOME <br />o O'l'HER <br /> <br />BUILDING SIZE <br /> <br />DESCRIPTION OF WORK <br /> <br />)~X0~ <br /> <br /> <br />& HEAL;Y;"(b~I~P~ <br />(-=::::f '\ G <br />SQUARE FOOTAGE ~ HEIGHT <br /> <br /> <br />ATTACH (2) PLOT <br />ATTACH (3) SETS <br />fROPERTY SURVEY <br />I <br /> <br />PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~t{U') <br /> <br />PERMITS REQUESTED ~r:-.JIJ1. JKj)1 <br />VALUATION OF TOTAL CONSTRUCTION I Y L.Y 0 <br /> <br />;n BUILDING <br />)g ELECTRICAL <br />~PLUMBING <br />~ tvJECHANICAL <br /> <br />At1P 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 AREAO YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br />SIGNATURE /~ '-:-;.--'~~::; <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />ELECTRICIAN .,...<.....<..........<...........:::::::.<~< J2 <br /> <br />~ ~ /).-Ll <7J?) S'fATE CERT OR REGIST # <br />SIGNATURE ---.i..L-.A ( :>.-.--- '..::..J ~ ~-. CITY PROCESSING # <br /> <br />PLUMBER <br /> <br />< < < < <. H H. <. H. H <........ H H H. ::::::: ..~ ~~'~ <br /> <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE -L,--- "(:~. <br /> <br />LJ 7:~ <br />.- u- . ~ <br /> <br />MECHANICAL <br /> <br />*"******************************************~~~~******** <br />COMPANY <br /> <br />SIGNATURE <br /> <br />(-'~ <br /> <br />. .,-.---- /.? t-;~~r:. . <br />./ "'--, ._~ '.--<\. .....):.- r .' <br />/ <br /> <br />STATE CERT OR REGIST # <br />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 /> <br />***************************************************************** <br />