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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 U-(l...;/N'J )f u/'V c..; N <br /> <br />PHONE <br /> <br />JOB ADDRESS-.:1,5JS <br /> <br />N~~ rfOI'l('"lc.-' B/v.J.... L.ryg' <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <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: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />rr;;;ILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIP'rION OF WORK .AM '/1 <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />,lI.TTACH (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 ELECTRICAL <br /> <br />M1P SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C, <br /> <br />o PLUMBING <br />o tvlECHANICAL <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 />n I~/_~ /7- J,t:J <br />SIGNATURE WA7,vt;, ~ _,,__ <br /> <br />COMPANY B~~,... 15s: <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />BUILDER <br /> <br />*~.**************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE ~ ry,-v L O",n::;..., Fi~!c/ <br /> <br />COMPANY /'9 (" <.. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />PLUMBER <br /> <br />****************************************************************** <br /> <br />r;U. 77:- 17 ~ (J <br /># <br /> <br />SIGNATURE <br /> <br />fv.Jo...'f" <L <br /> <br />OCJ. /h.., 75 c.- V <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />**********************************;~~;:~~***~~~*************** <br /> <br />S I G NA T U RE ~'" '7"- L. ,/.3,- /T-Z"......../i ~ I t! <br /> <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />*.~*************************************************************** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />.~;.....,;, <br />.;> <br /> <br />***************************************************************** <br /> <br />'l <br />.~ <br />