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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 />PARCEL ID # <br /> <br />/ () -~ -cJ-/-cKJld -df3od -()CXJO <br /> <br />DATE RECEIVED 1-/4- 01 <br />PLANS REVIEW FEE <br />Pa.~~o Per~it S~"'CoC." <br />(-cgC-Gr - 'K';J.'(~J&ftf <br />PHONE //]-7 ,.- <br />~-':frL;1r fl. 3c3Jtj~ . <br />SUBDIVISlON<-V7~ /CArl /77.#. <br />(OBTAIN FROM PR TY TAX ~) <br /> <br />OWNER'S NAME ~~ <br />JOB ADDRESSS)- "3 Cf <br /> <br />()~ - /lJlJl~d- <br />II) 1iJ'J' ae.Lu...su 1J.r d-ve <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />WORK PROPSED: ONEW CONSTRUCTION o ADDITION ~ALTERATION o HEPAIR o INSTALL <br /> OSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: I2iSGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS ~OBILE HOME <br /> OCOMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK ~ <br />~(/ X 'it; , <br /> <br />~~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE /) 1~ <br /> <br />HEIGHT <br /> <br />RES I DENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT <br />ATTACH (3) SETS <br />PROPERTY SURVEY <br /> <br />~ BUILDING <br /> <br />$ <br /> <br />J %CXJ. (} <br />~ <br /> <br />PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />OF BUILDING PLANS & (1) SET ENERGY F~fMS. <br />REQUIRED FOR ALL NEW CONSTRUCTION. ~ <br /> <br /> <br /> <br />07~- ,:,'0 hLfVDkso;~/ <br />VALUATION OF TOTAL CONSTRUCTION ~ <br />o FLORIDA POWER W.R.E.C. <br /> <br />PERMITS REQUESTED <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br /> <br />o PLUMBING <br />o !vlECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <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 />~ OTHER ~(U~I~""""- <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br /> <br />SIGNATURE <br /> <br />COMPANY ICr ~ 4tu.ft i- /Jt Cl.[(jiVj &JJ-rGcl&- <br /> <br />/C-",~). {~ ~~*~E P;~~~S~~N~E~'S'r I .f.3 <br /> <br /> <br />********k********************************************************* <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST #_ <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST #_ <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************k* <br />