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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 RECE lVED .3. ~ ):-6 l( <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME ~ '(>.."\1 ~ 10 {' f {.s. · <br />I ~ <br />JOB ADDRESS '< ~8ll -~ S 00'1 g A tJ {' <br /> <br />PHONE d'r~ -,(3 CJdSc( <br />Z-h.\Ik. I{ 3)S-1(~ <br />J <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # / I'-~t, '-d.-/-QCJJ..lJ - /J.../'-( 00-0) L/o <br />. <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />OSIGN <br />PROPOSED USE: ~ FAMILY DWELLING <br />OCdMMERCIAL <br /> <br />ld1\DDITION <br />o MOVE <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />OMULTI - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />OSWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />CODC'v<(~~JE' ~cfo//+/~)J ~ ,IX 301 <br /> <br />SQUARE FOOT~qE ,/66 Sr/J - HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: .ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />o BUILDING <br /> <br />$ <br /> <br />&l' <br />~OO. <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />o PLUMBING <br />o MECHANICAL <br />o GAS. 0 ROOFING <br /> <br />$ <br /> <br />VALUATION OF <br /> <br />~~ <br /> <br />[J~~~.;,~ <br />/' / &g <br />MECHANCIAL INSTAL~~ ;1g <br /> <br />AMP SERVICE 0 <br /> <br />FLORIDA POWER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br /> <br />o SPECIALTY' [] OTHER <br /> <br />FINI$HED FLOOR ELEVATIONS <br /> <br />. <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHAAIfZ:AL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />i <br /> <br />OTHER" I~ 19~' <br />SIGNAtURE ~ ~~-D <br />/' pe--- . .~:". - <br />. ". , <br /># *************~*~*****************************************~******* <br /> <br />***************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSI~G # <br />