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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 ,1p/~ Y <br />PLANS REVIEW FEE <br /> <br />JOB ADDRESS <br /> <br />L)~ K, T ;::c Af'! <br />6 ,3 t.( () r;1l T k i,.; f <br /> <br />PHONE <br /> <br />7f'2-1//L <br /> <br />OWNER'S NAME <br /> <br />/C.:J /J ~ <br /> <br />LEGAL DESCRIPTION: LOT (8) Lo; jf) BLOCK <br />PARCEL ID # () 3~ zt--.7J- q)t/Joo -~()80{) -(jOOO <br /> <br />SUBDIVISION L'T/L €- IlC/ie.f' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: []NEW CONSTRUCTION D ADDITION DALTERATION D REPAIR D INSTALL <br /> ~IGN D MOVE D DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING DMULTI-FAMILY DIt OF UNITS D MOBILE HOME <br /> ~OMMERCIAL D INDUSTRIAL DSWIMMING POOL DOTHER <br /> <br />BUILDING SIZE <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />/111J Ai \; En t' f"V J /;(/( 6' u ,-v{..() )i ? 4'i <br />SQUARE FOOTAGE .72 Sf /-r: <br /> <br />HEIGHT <br /> <br />f./ iF <br /> <br />DESCRIPTION OF WORK <br /> <br />RES I DENTIAL: <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 />'{,~ <br />*1-' <br /> <br />D BUILDING <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />LJ,fIJO, <br /> <br />/ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />D PLUMBING <br />[] MECHANICAL $ <br /> <br />VALUATION OF MECHANCIAL <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />[] FRAME <br /> <br />[] STEEL <br /> <br />INSTALLATION tJ2"3 <br />)1qt1... II <br />l"3 -S ;2 <br /> <br />[] GAS <br /> <br />[] ROOFING <br /> <br />[] SPECIALTY <br /> <br />[] OTHER <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES <br /> <br />[] NO <br /> <br />~,QB.~tJi, <br />'J\<!;;"";""*"<";,-,,,,,,~,_,,,'i'~':'1,, .' .~,;'~IJ~), <br /> <br /> <br />SIGNATURE <br /> <br />r-~ <br /> <br />COMPANY A::::'<je,-t.J I f;;ro-.. <br />. , <br />STATE CERT OR REGIST It <br />CITY PROCESSING It <br /> <br />{h/S. j <br />e. 5' o.c 00 ;:{ /7 <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN ~ <br />SIGNATURE ~ ' <br /> <br />COMPANY /~7 {1/.5 I SI,j N (b/i/) <br />STATE CERT OR REGIST ItE!: 000 0 c..f 17 <br />CITY PROCESSING It <br /> <br />****************************************************************** <br /> <br />PLUMBER <br />SIGNATJRE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST It <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 /> <br />.~: <br />