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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 /J 1"7 / '-/ <br />DATE RECEIVED t?<j p<.( ~ f ~ <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME (~/~':Vt. '- 0 <br /> <br />JOB ADDRESS <br /> <br />.] 7->~yr <br /> <br />!f '-'f '- f"Q..c" . <br />L rl"1./(.O/',s <br /> <br />PHONE <br /> <br />11~'~ <br /> <br />Lc T 71 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTlCEl <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI -FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~BILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />/'1 rr <br /> <br />BUILDING 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 />i\'t~ <br /> <br /> <br />~1 0 BUILDING <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLP.TION <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 />FINIS~ED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br /> <br />-- ,'- (J> <br />COMPANY /? d.. ( Ie/'- /7 -,- I..:. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />I ~ ) ('ru-/J ""~ <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />Lv <~7"''-;;~lA,ZKJ <br />/ <br /> <br />COMPANY .J1 ~ ~ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />********************************************************k********* <br /> <br />SIGNATURE <br /> <br />C;fJc~-ey~7 <br /> <br />COMPANY {?v..lk~h,_ /J <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />PLUMBElR <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br />COMPANY A (2. ~ <br />~4 h1 STATE CERT OR REGIST # <br />{A..j ''y~'~ ~?;/' CITY PROCESSING # <br /> <br />MEC~ICAL <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />.t:t'~ <br /> <br />********************************************************'k******** <br /> <br />,1 <br />~ <br />