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<br />OWNER'S NAME (YI ('~, c..~ \1: ~ts <br />JOB SITE ADDRESS S \ .~ L\ ) ~-S t <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT S33S 8th STREET ZEPHYRBILLS, FL 33540 <br />Phone:813-780-0020 Fax:813-780-0021 <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />PHONE CONTACT <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />2-ef~.PL <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br /> <br />~ Fd(} (OBTAIN FROM PROPERTY TAX NOTICE) <br />o ADDITION o ALTERATION o REPAIR o INSTALL <br />o MOVE 0 DEMOLISH <br />DMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br />o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />DSIGN <br />PROPOSED USE:~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />0<ero-rP <br /> <br />~ <br /> <br />~5 T' <br /> <br />SQUARE FOOTAGE <br /> <br />ad- SrJ <br /> <br />HEIGHT <br /> <br />BUII>DING 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 BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$-E()'] 6.cA <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />~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 AREA 0 YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER <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 />OTHER '~ifrf7 ^S <br />SIGNATURE .~6 \1:::)('.>-.- <t~~ <br /> <br />***************************************************************** <br /> <br />COMPANY ::)<Jl,+ ~ ~ <br />STATE CERT OR REGIST # C [r I -'i '7 S-7 <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />