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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 RECEIVED
<br />PLANS REVIEW FEE
<br />
<br />1!5/o~
<br />
<br />OWNER'S NAME L.', '0 \:: (" ~I \,/ {6:. f: ;,).; C'I', \ l__ L. C.
<br />
<br />PHONE 1- 81.6 - (j; I 0- .')la~1
<br />
<br />JOB ADDRESS
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<br />
<br />LEGAL DESCRIPTION: LOT(S)
<br />
<br />BLOCK
<br />
<br />SUBDIVISION
<br />
<br />PARCEL 10 # (..''';'..' ~-': ',"-. CL(v~ ""'\,.:".'(";CI["
<br />
<br />(OBTAIN FROM PROPERTY TAX NOTICE)
<br />
<br />WORK PROPSED: ONEW CONSTRUCTION
<br />
<br />o ADDITION
<br />
<br />00 ALTERATION
<br />
<br />o REPAIR
<br />
<br />o INSTALL
<br />
<br />o SIGN
<br />
<br />DMOVE
<br />
<br />o DEMOLISH
<br />
<br />PROPOSED USE: oSGL FAMILY DWELLING
<br />[JI COMMERC IAL
<br />
<br />oMULTI-FAMILY
<br />o INDUSTRIAL
<br />
<br />D# OF UNITS
<br />o SWIMMING POOL
<br />
<br />o MOBILE HOME
<br />o OTHER
<br />
<br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
<br />
<br />DESCRIPTION OF WORK Cn~\
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<br />
<br />; ;:. I . (" ,
<br />
<br />BUILDING SIZE
<br />
<br />SQUARE FOOTAGE
<br />
<br />--'
<br />, --
<br />
<br />
<br />HEIGHT
<br />
<br />RESIDENTIAL:
<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 />PERMITS REQUESTED
<br />
<br />& (1) SET ENERGY FORMS.
<br />
<br />FORMS.~E,. pr~:\"I
<br />~ cgZ . ~ '-'
<br />
<br />D ELECTRICAL
<br />
<br />AMP SERVICE
<br />
<br />o FLORIDA POWER
<br />
<br />o W.R.E.C.
<br />
<br />
<br />o BUILDING
<br />
<br />$
<br />
<br />C:~(lr"
<br />.....J J \... "'..... ''-.
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />o PLUMBING
<br />o !v]ECHANICAL
<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 />o OTHER
<br />
<br />FINISHED FLOOR ELEVATIONS
<br />
<br />IS PROJECT IN FLOOD ZONE AREAO YES
<br />
<br />o NO
<br />
<br />
<br />BUILDER
<br />
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<br />
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<br />
<br />COMPANY
<br />STATE CERT OR REGIST #
<br />CITY PROCESSING #
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<br />SIGNATUR'1
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<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 />MECHANICAL
<br />
<br />******************************************************************
<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 />SIGNATURE CITY PROCESSING #
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