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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 />~.')l-V'V <br />DATE RECEIVED U' ..<. <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME .:l1~~L~bS-r~~\$ :ri4c. <br />7 L/ 4'1 <0 I i/ . tJ _ 0 tl:2 0 <br />JOB ADDRESS 3f- 2-f-::r-tJlj-O- tltt1t7 'H1bH-w^V 3c?t <br />I <br /> <br />PHONE 40 $"- ;;J;;JS-.sc:::oo <br />y.. ;::k.e.n-y p ~H-.b <br />, <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />~ <br /> <br />BLOCK <br /> <br />SUBDIVISIONZE:.PJ+'J~I~ CoIY1~ON.s <br /> <br />PARCEL 10 # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: 8.NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />8COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />~ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK 5lr\1t...'='ll4b .I-~/pl!;:'S <br />n41~ /",' <br />BUILDING SIZE ~ ~~v SQUARE FOOTAGE <br /> <br />Fore... t:>ef ve::. -.:t:A ~s T I\\t\~ <br /> <br />1L.i~ <br /> <br />HEIGHT <br /> <br />Ih' <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~ GAS <br /> <br />~ ROOFING <br /> <br /> PERMITS REQUESTED <br />$ YlB /tl~ VALUATION OF TOTAL CONSTRUCTION <br />. <br /> 400 AMP SERVICE 0 FLORIDA POWER 0 <br /> fA 'PUe. u.s:s ;;:.~'/ <br />$ Jq )500 VALUATION OF MECHANCIAL INSTALLATION <br /> o SPECIALTY 0 OTHER <br /> <br />'" <br /> <br />fr '7)00 <br /> <br />B BUILDING <br /> <br />~ ELECTRICAL <br /> <br /> <br />"g] PLUMBING <br /> <br />~ MECHANICAL <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />~ FRAME <br />I Lf1. 30 ' <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />~NO <br /> <br /> <br />COMPANY tor \ L~ "- G e "'-~ r &\,. \ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />(' ~\. <br /> <br />SIGNATURE <br /> <br />~J <br /> <br />u <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN ~~~ <br />SIGNATURE rz~ <br /> <br />COMPANY f) LE EL l::::LTA.f~P /...5 tfieA<S <br /> <br />STATE CERT OR REGIST # Fe... 1.300 0 d>~ <br />CITY PROCESSING # . <br /> <br />PLUMBER <br /> <br />****************************************************************** <br />,_J/ L . <br />ll/l/?'\P //:3 <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />cl;t/c/ (5 <br /> <br />SIGNATURE 9.... <br /> <br />~~ <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />SIGNATURE S-ef- e",-s.,Z <br />u <br /> <br />..=3> <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />