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<br />crry OF ZEPHYRHILLS PERMIT APPLICA'l'ION <br />BUILI>INCl DEPARTMENT 5335 Sth STREE'r ZEPHYRHILLS, FI, 33540 <br />PhOn&IS13-780-0020 FaxI813-780-0021 <br />~..... DATB RBCBIVBD -.a' ;J../~ O~- <br />C ~~.. PLANS RBVIBH FBB _ <br /> <br />, OWNER'S NAME ~I PHONE CONTACT' <br /> <br />JOB SI'fE ADD~SS'73-ot 0 ~tdt ;tJ~. / p~ ,J?+4- ~ilk:t- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # .3r-J..s-"'-.1/- "~l () _ () ~ fS'''C> -.0000 (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPSED; DNEW CONSTRUCTION llrA'DDITION o ALTERATION 0 REPAIR [] INSTAI4L <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOIJIS~' <br /> <br />PROPOSED USE; DSGL FAMILY DWELLING <br />~MMERCIAL <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br /> <br />o INDUSTRIAL <br /> <br />o OTHER <br /> <br />DESCRIPTION OF <br /> <br />o RESTAURANT & HEALTH DEPARTMEN'r APPROVAL . I. _ R _ _-+ <br />~~~~~~~ar~curtYV,~ <br />WORKk~~~~~~ 4VtLZ-~.tr~ <br />~~ . <br />SQUARE FOOTAGE HEIGHT <br /> <br />BUILDING SIZE <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 BUIJ~DING PLANS & (1) SET ENERGY FORMS. . <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. t€. ~ d.fi;-~ ~. <br /> <br />uY;4V j P1( ~J <br />PERMITS REQUESTED .~ 7) ~~ <br /> <br />o BUILDING <br /> <br />$ <br /> <br />.3 jl,9 <br />J <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[J ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[] FI,oRIDA POWER <br /> <br />o W.R.E,C, <br /> <br />[] PLUMB ING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTAI,IJATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <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 AREAD YES <br /> <br />o NO <br /> <br /> <br />BUILDBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />BLBCTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />j)IL <br />COMPANy/lf):; ,.g~~~ Jt#C- <br />STATE CERT OR REGrST EF "0& II.:J...? <br />- . eTTYPROCESS:r~G#:3 0 ~ D <br />,/ ~/:3-:3?(Q -S5~.:L2f. <br />* * * * * * * * * * * * * * * * * * * * * * * * C * * * * *~=~~~:_~:.~*.::,,;:,:_::.:.~:_~) * * * * * * * * * * <br /> <br />_._..._.._____._..__".~.v. , <br /> <br />OTHER <br /> <br />~~ <br />