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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 ~ "' 2.1I "'" 4) li <br />DATE RECEIVE~ -( <br />PLANS REVIEW FEE <br /> <br />~- <br /> <br />OWNER' s NAM~~~'.i~ ~Qthm <br />JOB ADDRESS ~_2 _~~ _C . <br /> <br />PHONE ~~-J~Z- ~ J (p <br />La +- 3q <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID It C'6 ~d<.o-d\-O\~O-O 0000_ CC>~O <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br /> <br />OCOMMERCIAL <br /> <br />OMULTI-fAMILY <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 Go.fO.fje. I Car-{XY+ '. CrmC'.A. Dte~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESID!l:NTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />t$ BUILDING <br />o ELECTRICAL <br /> <br />$ r ~,<.X) <br /> <br />PERMITS REQUESTED <br /> <br />& ~~~4fET ENER. GY <br />fO$ <br />to 7 I )- 0 <br /> <br />fORMS. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o fLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />1\ ~\"\ ~ <br /> <br />o PLUMBING <br /> <br />o Gl\S <br /> <br />o ROOFING <br /> <br />o SPECIALTY <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 />SIGNATURE <br /> <br /> <br />COM PAN <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />BUILDER <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 l <br /> <br />SIGNATURE <br /> <br />~I',. <br />**********k******~****************************************'******* <br />