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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DZPARTMENT 5335 8~ Street, Zephyrhill., FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECEIVED /0 -1- t!? Y <br />PLANS REVIEW FEE <br /> <br />PHONE c71) -7r 2 - /~~ C( <br /> <br />SUBDIVISION. VI Le....A ~/!- Grz'()V~ <br /> <br />WORK PROPSED: ~W CONSTRUCTION <br />OSIGN <br />PROPOSED USE: ~ FAMILY DWELLING <br />o COMMERCrAL <br /> <br />{OBTAIN FROM PROPF.RTY TAX NOTICF.l <br /> <br />lB'ADDITION <br />o MOVE <br /> <br />OALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />~STALL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0* OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br /> <br />~ER <br />;::; l-U /1/1, I NUlV'-- <br /> <br />DESCRIPTION OF WORK <br /> <br />~TAURANT & HEALTH DEPARTME~OVAL <br /> <br />[Z )( I L ~ I-IE.V ' (Z;<. Lf 0 C~OiLr <br />/ <br />SQUARE FOOTAGE <br /> <br />~2-'f <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS &. (2) SETS OF BUILDING PLANS <br />COMMERCIAL: .ATTACH (3) SETS OF BUILDING PLANS' (1) SET ENERGY <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />c:iVt3u IL DING <br /> <br />$ <br /> <br />10/'1>.2-2- <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />& (1) SET ENERGY <br />FORMS. <br />I 2-7 ,~0 <br /> <br />.~ ':) . ~'" <br /> <br />. --"""'- <br />j4,if <br /> <br />FORMS. <br /> <br />PERMITS REQUESTED <br /> <br />f9-fJG- <br /> <br /> <br />~ <br />1Z:..LJi.( , <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br /> <br />o PLUMB I NG <br />o MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />.1" <br /> <br />;1. <br /> <br />"...'''.:;'".;-:".............. <br />C~~~ANY g<;(-f C o/UsnW G 1101..1 of If/VT/?IK <br />IA () /'J STATE CERT OR REGIST ft C(5 ( () C:'7Q ~ 7- <br />~ CITY PROCESSING * --z-c, <br /> <br />.. ; ~ ; . . <br /> <br />,.,:;;1.,1",; . <br /> <br />BUILDER <br />SIGNATURE ~ <br /> <br />R-... <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />. COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <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 ft <br /> <br />SIGNATURE <br /> <br />**..************************************************************* <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />