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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 />11~1~$ <br /> <br />:::E:~:R:::E ~~\~~~{~~f\ cL-. <br /> <br />LEGAL DESCRIPTION: LOT (S) (i('t[; ~ BLOCK <br />PARCEL ID # D:S-~-c9-l-t)ld-O-OOOD~-()q9[) <br /> <br />PHONE ~l3~~O~ ~l 5 { <br /> <br />SUBDIVISION S\ \ ueJ? ~L "S <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o SIGN <br /> <br />~ADDITION <br />o MOVE <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />\ri10RK PROPSED: DNEW CONSTRUCTION <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULT I - FAMIL Y <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />rs. OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />({ re ~-^ rDcfY\ <br />!J. I ' l;).. X ,:) <br /> <br />SQUARE FOOTAGE d58' <br /> <br />HEIGHT <br /> <br />g' <br /> <br />BUILDING SIZE <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 />& (1) SET ENERGY <br />FORMS. <br />~ 7. S''Q <br /> <br />FORMS. <br /> <br />($<-))0. <br /> <br />PERMITS REQUESTED <br /> <br />A~1P SERVICE <br /> <br />o FLORIDA POWER <br /> <br />~ <br /> <br />W.R.E.C. V <br /> <br />!tl BUILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />:J,I LI J.OC) <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o <br /> <br />o PLUI1BING <br /> <br />o MECHANICAL $ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />VALUATION OF MECHANCIAL INSTALLATIO~ ~ <br />O~h c <br />~ '/ (5--- 71>;) 3 <br />o o'rHER <br /> <br />o STEEL <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAt.1E <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br /> <br />SIGNATURE <br /> <br />Jj~.~P 9:i~~ <br /> <br />COMPANA.'~ 2 ClluJV\.-I~~' \ L){ <br />STATE CERT OR REGIST # (,t 4 <br />CITY PROCESSING # <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <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 # <br /> <br />SIGNi~T[jRE <br /> <br />***************************************************************** <br />