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<br />-Teres Q E u~' v- <br />SL, ~~ 5 L:J"th 0treet Z cf~~r hdls <br />LEGAL DESCRIPTION: LOT(S) 1 ~ 2. BLOCK 13 C) SUBDIVIS1C)N <br />PARCEL ID # \'-1.{p-~21 ~0Q>-'10)-0:;(>0~-~01e.\oBTAIN F--EQM PROPE;ETY TAX NOTl.k.El_ <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <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 />PHONE 15131-1'1 II ~ 1- <br />t: L 3'~3 54;) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />Igj I\LTERAT ION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br /> <br />o DEMOLISH <br /> <br />o MOVE <br /> <br />PROPOSED USE: I&lSGL FAMILY DWELLING <br />OCOMMERCIAL <br /> <br />DMULTI-FmnLY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />DSWU1MING POOL <br /> <br />o ~10BILE HOME <br />[J OTHER <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK _Fnc.lose G,u'-a3e Zlnd Carp.oct <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: <br />Cm1NlERCIAL: <br /> <br />!8J BUILDING <br />~ ELECTRICAL <br />0 PLUMBING <br />0 I <br />MECt1ANICAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTI\CH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.EJ~. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />18l FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />F'INISllED FLOOR ELEVATIONS' <br /> <br />BUILDER <br /> <br />SIGNATURE !f <br />~ <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />01'10 <br /> <br /> <br />?~t~. &~~?[ <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />************************************************************+***** <br /> <br />&/{/l/! <br /> <br />COMPANY CTwtJa <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />ELECTRICI~ <br />SIGNATURE, " '/[l/~a <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />*******************************~w~x**w*~~*~~~~~~~~ ..x .:x^ <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***********************************************************'k****** <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />*********************************************************-k******* <br /> <br />OTHER! <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />******************************************~********************** <br />