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<br />~..~ <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th Street, Zephyrhil1s, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECEIVED #- r::2.c;l-Of <br />PLANS REVIEW FEE <br /> <br />OWNER'S <br /> <br /> <br />BLOCK <br /> <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: ~W CONSTRUCTION <br /> <br />PARCEL ID # 34--d5-~I-C:>Cx:x:::>-0030D-OO~O (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />OALTERATION <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 /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o INDUSTRIAL <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK J3ui \A A'?O--\"~(\.\- tAn, + -:\::\= 4- <br />BUILDING SIZE' 4\. 3~ X l~ <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />2..1 <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />J BUILDING <br />d ELECTRICAL <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 />d MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS 0 ROOFING 0 SPECIALTY <br />TYPE OF CONSTRUCTION: J BLOCK <br /> <br />o OTHER <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 0 NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY ~~ be.veiop~ t:.o. <br />STATE CERT OR REGIST # c....~~ ~ 0 I Ot:\ 2...3 <br />CITY PROCESSING # <br /> <br />****************************************** <br /> <br />ELECTRI <br /> <br />COMPANY M('S-t c...\o..SS f. \..R.c.-4-n'c.. <br />STATE CERT OR REGIST # 00001-570 <br />CITY PROCESSING # <br /> <br />*********************************************** <br /> <br />PLUMBER <br /> <br />-, ~& ~. ~l ~" <br />COMPANY~~\'\:~'-'" \Sl\.('\'{'...'-. h ~ <br />STATE CERT OR REGIST # ~~'-\~~\:')"";;;L <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /><:" <br />SIGNATURE <br /> <br />lLAA/) ~~ro <br /> <br />COM PAN <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />