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<br />.~~ <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-.3.:2. Of <br />PLANS REVIEW FEE <br /> <br />JOB ADDRESS <br /> <br /> <br />BLOCK <br /> <br />OWNER'S <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # 34 - 015 - ,;2..1- ()(XX:) - 00 300-00 ~O (OBTAIN FROM PROPERTY TAX NOTICE I <br /> <br />WORK PROPSED: ~W CONSTRUCTION <br />OSIGN <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />~LTI - FAMIL Y <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK b...u\A A~\"'-\rvv>(\-\- tAf\\+ i=\= 5 <br />BUILDING SIZE' 4\. ~~ 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 />"BUILDING <br />dELECTRICAL <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />~ FLORI DA POWER <br /> <br />o <br /> <br />W.R.E.C. . <br /> <br />o PLUMBING <br />JMECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING 0 SPECIALTY <br />OF CONSTRUCTION: ~LOCK <br /> <br />o OTHER <br /> <br />TYPE <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 />COMPANY 5o..nd~ 'De-veiopmcnt ~. <br />STATE CERT OR REGIST # C-BL. - 0 \ OCl '2.-'3 <br />CITY PROCESSING # <br /> <br />******************** <br /> <br />*************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY ~("S+ c....\a..SS f. \.R.c....-\-n.c.. <br />STATE CERT OR REGIST # OOOOl.S'70 <br />CITY PROCESSING # <br /> <br />ELECTRICIAN <br /> <br />PLUMBER <br /> <br />********************************************* <br /> <br />cOMPANY~ ~:\~~h~ <br /> <br />STATE CERT OR REGIST # C" . \l{~S :::> <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />. <br />SIGNATURE <br /> <br />lA_u>n J~L~ <br /> <br />COMPAN <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />