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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th St~eet, Zephyrhills, FL 33542 <br />813-7BO-0020 FAX:B13-7BO-0021 <br /> <br />JOB ADDRESS <br /> <br />0;hk1<} W~ <br />C'I T T2L15 /-!()/1// /i 5 <br />-; 7 Lf z.f Nf'u K O/VI- Av f:. Lc r <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME <br /> <br />PHONE 8'/3- '7Pz - /0' 'f <br /> <br />36 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION (!;/l/J/Vt:? /h/ZIZM/ mJ//" <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />3Zf - 25- 21 - DDt 0 ~ 02%'00 - 0 30 0 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~W CONSTRUCTION <br /> <br />IErADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />~STALL <br /> <br />o SIGN <br />PROPOSED USE: ~ FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />g-;.14 /.. v/l1l:# (I d'\. <br />OTHER <br /> <br />CJ <br /> <br /> <br />DESCRIPTION OF WORK (2)( I Z- <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />01~ <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />~ILDING <br />41J1tLECTRICAL <br /> <br />$ I 3?'oC(, 3~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W,R.E.C, <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br /> <br />P /;/(j). <br /> <br />) <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATI <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br />SIGNATURE <br /> <br />~ ;J, aJJep <br /> <br />-. <br /> <br />COMPANY gt H {oNs.rlZ<.JC..jr J/'IJ {)F C6VT1UJ<.... FL, <br />STATE CERT OR REGIST # C Be o~1 'T S"z... <br />CITY PROCESSING # ;2.(,., <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 />HECH1\NI CAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />