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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th Street-,"Zephyrhille, i'L 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECE lVED .3." 7--- z; "S- <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME ~~-\ \-~){.\.~ <br /> <br />JOB ADDRESS~\~\~ ~~ \ 'C:\'-J~ <br /> <br />\"\\ \-\'V PHONE ~\~")-\~~ - \Ci-.u'-\ <br />L<::::J\. \ \~ <br /> <br />BLOCK SUBDIVISION\.u~ \1..0\-\.c::...~ \f\\\\) <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # ~"-\-&5-c"0\-Q)b -~) -Q\1C1 (OBTAIN FROM PROPERTY TAX NOTICE) <br />ONEw CONSTRUCTION OJ-1G)DITION OALTERATION 0 REPAIR (f}-r'NSTALL <br /> <br /> <br />o SIGN <br />USE: ~L FAMILY DWELLING <br />OCOMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />~\\'\~ <br /> <br />DESCRIgTION OF <br /> <br /> <br />\- <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE \()~~\ ) <br /> <br />HEIGHT <br /> <br />~ILDING <br />~ECTRICAL <br /> <br />PERMITS REQUESTED <br />$ \~~'-\C) ,~~ VALUATION OF TOTAL CONSTRUCTION <br />I <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. .... ~ ,:), <br />I~ ) _ '-' J?GPc <br />1)"" ...7) ~~C <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 />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />WR.~0 <br /> <br /> <br />I <br /> <br />o PLUMBING <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />.. <br /> <br /> <br />o ME:CHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL <br /> <br />TYPE OF CONSTRUCTION: 0 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 0 NO <br /> <br />SIGNATURE <br /> <br />~ ll, CU& <br /> <br />...'......-............. <br />.':. ....' . <br />.. . ' .". <br />.. '" '.. ... <br />. . . . . <br />"' """." '" . <br />C~MPAN~ "-~i\ '\ ~(~\\clr'\ ~~\ \:,,,- <br />STATE CERT OR REGIST #~~--'C\~C:V <br />CITY PROCESSING # c5)~ <br /> <br />,I <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE ~ <br /> <br />A'. ~- <br /> <br />, <br /> <br />COMPANY A~ ~~" - L <br />STATE CERT OR REGIST # <br />CITY PROCESSING # \ ~ \ <br /> <br />****************************************************************** <br />.... <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />