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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br /> <br />BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542 '1/' / / J <br />813-780-0020 FAX:813-780-0021 ~ 0fLQ7 <br />DATE RECEIVED / I ' <br />PLANS REVIEW FEE <br /> <br />OWNER'S <br /> <br />NAME_P~~- D~ <br />-!~~ocl CQ~~ <br /> <br />PHONE_'lB~... o~q ~ <br /> <br />JOB ADDRESS~~~Lt~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # m. d.-Co - d-.l -O~ I A-CO'V(() .cP<c()COBTAIN FROM PROPERTY TAX NOTICE\ <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />RINSTALL <br /> <br />o SIGN <br />PROPOSED USE: ~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI -FAtELY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ~ ~~ C~,mA1- <br />BUILDING SIZE SQUARE FOOTAGE 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 />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />[J W.R.E.C. <br /> <br />o PLUMBING <br />~tvjECHANICAL $ c9~ca.OO <br />o GAS 0 ROOFING 0 SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 AREAD YES <br /> <br />o NO <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />BUILDER <br /> <br />1 <br />SIGNATURE <br /> <br />******************************************************1~*********** <br /> <br />SIGNATURE <br /> <br />COt-1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />ELECTRICIAN <br /> <br />******************************************************'k*********** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />PLuMBER <br /> <br />SIGNATURE <br /> <br /> <br />*****************************************~b***~~~~*r<t*~******** <br />COMPAN~AD~ ~ --- <br />/CJ/, ~ g1 _..~ STATE CERT OR REGIST, # modQct 61 <br />-t'/f: b'V1 C/&~ ~r-~ CITY PROCESSING # -, I <br /> <br />MECHANICAL <br /> <br />**************************************************~:******~**** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />OTHtR <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />