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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~~ ~ ~ <br />DATE RECE IVE~ I ..' t/J/ <br />PLANS REVIEW FEE <br /> <br />OWNER' S NAME~ F\ Y <br />JOB ADDRESS 3 f?B;'-j ~ <br /> <br />..f7J?\~ DQ() Ie t\ PHONE 7 f 3 -, d. ~y <br />..sou114 ~u~, 'Z-h\\\\~J FL ;)3S~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # II-~Ie-J./-OOID -c)"J'f Do-O fl-fb <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />~ITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DE~10LISH <br /> <br />PROPOSED USE: E1SGL FAMILY DWELLING <br />OCOMMERCIAL <br /> <br />OMULTI-rAMILY <br />o INDUSTRIAL <br /> <br />0# or UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />D RESTAURANT <br />DESCRIPTION OF WORK ~\ \J YY\: f\\J "'- <br />BUILDING SI ZE /..:z X ~s ~-{) <br /> <br />& HEALTH DEPARTMENT APPROVAL <br />Roo ~ ~ ~fVY\~vP cf){,\si('Yv~ tUa..LL <br /> <br />SQUARE FOOTAGE 37'~ -Sf 'fJ-~ . 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 />I!1I3LJ IL DIN G <br /> <br />$ <br /> <br />;{ ..00 <br />000. <br />) <br /> <br />PERMITS REQUESTED <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 />o MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />~~OFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />Er"'OT HER C\ I \J V'f) : n u Y"h.. <br /> <br />TYPE or 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 AREAO YES <br /> <br />o NO <br /> <br />SIGNATURE <br /> <br /> <br />~c,.:._ <br /> <br />"I' "I'I>~'W <br />~. ,{. "",l-; '".'.WL't <br />"'~1~ , "",,:.t,: <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />Cm1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />************~******************************************.*********** <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <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 />