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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8" Str.ot, Zophyrhills, FL 33542 ~ ~ <br />813-780-0020 FAX: 813-780-0021 ~ . ~ P' 5' <br />DATE RECEIVED...., , <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME '-';)\~\ \-\Ci ~u-"5'\ ~\\'V PHONE~~ ~ - \D\.c:>'--\ <br />JOB ADDRESS ?)\?J~~~ "'--c-.:.,\ \ "\..~ ~\- \\ \ <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION,\\'i~\-~'\C~\,\\\..Y <br /> <br />PARCEL ID # ~~-~\-f').,)\\.')~~~-~\I\ <br /> <br />(OBTAIN fROM PROPERTY TAX NOTTCF,) <br /> <br />WORK PROPSED: ChfEW CONSTRUCTION <br /> <br />~DITION <br /> <br />OALTERATION <br /> <br />o REPAI R <br /> <br />Q.--rTJSTALL <br /> <br />OSIGN <br />PROPOSED USE:~ fAMILY DWELLING <br />OCOMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE: HOME <br /> <br />~)~,~~ <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br /> <br />\... <br /> <br />BUILDING SIZE SQUARE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS Of BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS, <br />FORMS. 'v 0 ~..O ~\..J) (;;. <br />/ D " r <br /> <br />'7;7 ') ~ ~~ bJ-h.[ , <br /> <br />PERMITS REQUESTED <br /> <br />~JILDlt~G <br />~LECTRICAL <br /> <br />s \\ "--\ \ \ . i;:)~ <br />. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W, R, E , C ,.._,,\~<c... ~~ <br /> <br />o PLUMBING <br /> <br />o ~~F::CHANICAL <br /> <br />s <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 AREAO YES 0 NO <br /> <br />SIGNATURE <br /> <br />~ /l. /W~ <br />f <br /> <br />- <br /> <br />COMPAN~\\t <br />STATE CERT OR REGIST # I <br />CITY PROCESSING # ~ <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN ~ <br />SIGNATURE 7 ~ 4, a&Y <br /> <br />COMPANY \\.~ ~ ~~\-(' :t <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />\~I <br /> <br />****************************************************************** <br />'- <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />