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<br />~.0 <br /> <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 1- :;':;-uf- <br />I <br />PLANS REVIEW FEE <br /> <br />JOB ADDRESS <br /> <br /> <br />PHONE <br /> <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # 34-. ~ 5 - C;U - ()CX)O - 00300-00 <gO (OBTAIN FROM PROPERTY TAX NOTICE I <br /> <br />WORK PROPSED: ~W CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />~LTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ~\r\ Al?O--t'~(\-\- tAn,+ * l.o <br />BUILDING SIZE' 4\.376 X ,~ <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />2..1 <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 />[!(""B U IL DING <br />ul'ELEC'rRICAL <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE ~FLORIDA POWER 0 <br /> <br />W.R.E.C. . <br /> <br />o PLUMBING <br />~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: ff/' 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) 'nA <br />SIGNATU~LA J. ~ <br /> <br /> <br />************************ ***************************************** <br /> <br /> <br /> <br />COMPANY ~("S-t c...\o..SS ~ uc....+nc... <br />STATE CERT OR REGIST # 00002.5'7D <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />************************************************* <br /> <br />'-~~~~ <br />COMPANY -bSl.f'\'s~',)o... ",,--' ~ \\~ f'.N'- <br />~ ~ ':< STATE cERT OR REGIST * <::: ~'- \l(d..S "":1;):) <br />t ~S'~"" "'- CITY PROCESSING # <br />\ ' <br />.. .....................................~~..~.~ <br />d COMPANY . ~ <br />1 ;l~ cd, STATE CERT OR REGIST # c/\/C' /8/ ':?,C;-7f <br />, ~ CITY PROCESSING # <br />. <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**********~*******~'*i******************************************* <br /> <br />" <br /> <br />'f."f'!'.." ..~,'~~." <br />