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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ Street, Zephyrhil18, FL 33542 <br />813-780-0020 FAX:813-780-0021 ~/ / <br />DATE RECE IVED / 2B / 1/ ~ <br />f f <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME" ~(~~\ ~\rf\c t~ <br />JOB ADDRESS 3 '7'1 ;2.. if L \ \ \ \.~ ~~~ <br /> <br />'(\\'\-\(\) PHONE~\3-\~W -\Ob'-\ <br />",-,,)+ Q)3~ <br />SUBDIVISION\ c::-iC'\~~ \--\C"l ~ C<-'T\S <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # 3'-\ -~ -0\ -(J()\() -~~)-C);)~~ (OBTAIN FROM PROPERTY TAX NOTTCE) <br />WORK PROPSED: DffEw CONSTRUCTION ~ITION OALTERATION 0 REPAIR fi:H1fSTALL <br /> <br />OSIGN <br />PROPOSED USE:~ FAMILY DWELLING <br />o COMMERCIAL <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 />BUILDING SIZE <br /> <br /> <br />HEIGHT <br /> <br />~"' D RESTAURANT <br />~\~ <br />DESCRI PTION OF WORK ' "L ~ <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 />~ILDING <br />~ECTRICAL <br /> <br />PERMITS REQUESTED <br />$ R '-\0-\ '5; VALUATION OF TOTAL CONSTRUCTION <br />. <br /> <br />10'),:.~ <br />?,75',c-J <br /> <br />(2)L)k <br /> <br />.., , <br />)'L-\....))..c. <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C......0\\~ ~~<:1 <br /> <br />o PLUMB I NG <br /> <br />o t18CHANICAL <br /> <br />$ <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 />I S PROJECT IN FLOOD ZONE AREA 0 YES 0 NO <br /> <br />BUILDER r~ . <br />SIGNA~~~ A <br /> <br />",... ..""P,._:"<." <br />,,:~~. C~MPANy~\-\t~~~~~~\ \:C. <br />'~ ~ STATE CERT OR REGIST # C'-."::S. <br />~ CITY PROCESSING # C\.:>\L..... <br /> <br />,I <br /> <br />****************************************************************** <br /> <br />'LECTR~~ <br />SIGNATURE' <br /> <br />COMPANY ~ ~ ~~\-(', L <br />STATE CERT OR REGIST # <br />CITY PROCESSING # \~~ <br /> <br />****************************************************************** <br />" <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <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 />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />OTHER <br /> <br />***************************************************************** <br />