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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th Street, Zephyrhi1l8, B'l, 33542 ! ~ <br />813-780-0020 FAX:813-780-0021 <br />DATE RECEIVED i~ .3 tJ..5 <br />PLANS REVIEW FEE r I <br /> <br />OWNER'S NAME\ ~~ \-\ci,c-~ ~\Q PHON~S.\3~10C0-\~'-\ <br />JOB ADDRESS "3'722& "- 'r-I..\~~ We=- ~~c:V\\ <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISIO~ I;::~c:rc\ ~'\~"'\\? <br />PARCEL ID #~\ -~ -~\~CO':::)'(:)~'1t:J::) ,-~ \ (OBTAIN FROM PROPERTY TAX NOTTer,) <br />WORK PROPSED: ~ CONSTRUCTION ~TION OALTERATION 0 REPAIR ~ALL <br /> <br />o SIGN <br />PROPOSED USE :~AMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br /> <br />~HER <br />\=\\~\C\~ <br /> <br /> <br /> <br />DESCRIPTION OF WORK\ <br /> <br /> <br />I <br />SQUARE FOOTAGE~~ <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: .ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~'I.LDING <br />~CTRICAL <br /> <br />PERMITS REQUESTED <br />$\~~.~~ VALUATION OF TOTAL CONSTRUCTION <br />I <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />~~W\.( ~..~'=:\ <br /> <br />o PLUMBING <br />o MF.:CHANICAL <br /> <br />$ <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 />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />BUILDER <br /> <br />~ <br />SIGNA~ _ ". <br /> <br /> <br />J ~L' ) 0 . f7LD ~ <br />. ~~ ~.~~- <br /> <br />h .F ---=- <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING ~ <br /> <br />**************.*************************************************** <br />~)~ 0.J 1t-L1i.L .' <br />ELECTRICIAN ~ COMPANY ~ ~ 1- \~ ~ ,\:. <br />Cl::: ........ _ <br />~ ~, STATE CERT OR REGIST # <br />SIGNATUR~~1 · · . S:-., <::::--,,:- >->-L CITY PROCESSING i \::f, I <br /> <br />********************************************************'k********* <br />'. <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <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 />