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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ Street, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 ~/ C// <br />DATE RECEIVllD II / ;! tlS <br />'PLANS' REVIEW FEE <br /> <br />OWNER'S NAME '\:. ,,\~ ~<.'\C~ ~\-\\:) PHONEl)~-:t~-\~L\ <br />JOB ADDRESS~!0.\ ~ ~\\ ~~~ ~ \\(:) <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION\,~,,~ ~\1'\(:::.::s:\ \\'\'\? <br />PARCEL 10 # ~\-c'0~-0\-u"'"')\(y--~~Q.::)~D\\(:) (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPSED: ~W CONSTRUCTION ~DITION OALTERATION 0 RE:PAIR ~STALL <br /> <br />OSIGN <br />PROPOSED USE: ~ 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 /> <br />( \ <br />DESCRIPTION OF WORK <br /> <br /> <br />-+ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE ~ <br /> <br />HEIGHT <br /> <br />, (l)j SET ENERGY <br />FO Rl(ff. <br />)Z~Lt )~' <br /> <br /> <br />'i'r .....~ <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 />FORMS. <br /> <br />i ~ 'Lf)(, <br /> <br />~ILDING <br />~ECTRICAL <br /> <br />PERMITS REQUESTED <br />$~~b~~ <br />\ <br /> <br />f2-\fLc <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C,~\\~~~ <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />$ <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 />... ... "... ,- .. . <br />. ... .. ,.... <br />. . . , '.' ' . . . ... ,. . . , . . .. . <br />.; ::; ~.: ",; ;;! .; I . .; .:,;;; :'j . :,; i;!' :.;. . <br /> <br />:-.;..,.....'" <br />i;~ ;;. . . H;' <br /> <br />.'''~~~~A~~\\.~ ~\ lL~~ ~~Q~\K <br />STATE CERT OR REGIST #~~~~-l~.u--- <br />CITY PROCESSING # ~)~ c-.., <br /> <br />, I: <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />--;7 /7 IJ /) f} <br />fCn~ 1'-1, v~~ <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~j)~U~ <br /> <br />COMPANY \=\"\-0 e "'\- \?-\{ ,L <br />STATE CERT OR REGIST # <br />CITY PROCESSING # \~~ <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br />....., <br /> <br />COMPANY <br />STATE CERT OR REGIST i <br />CITY PROCESSING # <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />**.*.************************************************************ <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />*******************************************************~-********* <br />