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<br />CITY OF ZEPHYRBILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ Street, Zephyrhills, FL 33542 <br />813-7BO-0020 FAX:B13-780-0021 <br /> <br />DATE RECEIVED i,z/; 3"/0 3 <br />PLANS REVIEW FEE <br /> <br /> <br />1Osco R-rm <fSeru( Ce,S- <br />PHONE t-<7<Id?-f52Jf- 7gQy <br /> <br />OWNER'S NAME <br /> <br />Vi <br />f 3Ii2-. <br /> <br />PARCEL ID It ~Lf- ~-~ (?tJ,c;l.)-I)IJOCD~20 <br /> <br />WORK PROPSED: ~W CONSTRUCTION <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION ~/J Po I Vt 1.0 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />o ADDITION <br /> <br />[J ALTERAT ION <br /> <br />[J REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br />PROPOSED USE:~L FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />Olt OF UNITS <br />[J SWIMMING POOL <br /> <br />o MOBILE HOME <br />[JOTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />&tn~, 01- u...ti r;~ rOOm oj concr~k.. <br />~ 3 2- SQUARE FOOTAGE ~ <br /> <br />BUILDING SIZE <br /> <br />I;A <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 />~UILDING <br /> <br />$ <br /> <br />I~ '700 .~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />[J <br /> <br />,/-._-~ <br />~_/ ..- <br />W.R'~r:'.. -",- <br />, ./. <br />;' . (p/':) <br />1J <br /> <br /> <br />[J PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATIO <br /> <br />[J GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br />~RAME <br /> <br />o STEEL <br /> <br />I1f OTHER ~ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br /> <br />BUILDER <br />SIGNI\TURE ~ ~ <br />t7 <br /> <br />COMPANY ..;ere-on) '5 {ll.<ed;/-; hi U->>t./ ~ f,( """- <br />STATE CERT OR REGIST It <br />CITY PROCESSING It <(?Cf <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST i <br />CITY PROCESSING i <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST i <br />CITY PROCESSING It <br /> <br />SIGNATURE <br /> <br />***************************~************************************** <br /> <br />MECHANICAL <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 />