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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ Street, Zephyrhills, FL 33542 <br />813-78P-0020 FAX: 813-780-0021 / ( I <br />DATE RECEIVED If '2.Z-t () 5 <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAMi'\:- \::-~C'~\ \-\C\ \C~\ \'(\\-\.'0 PHONEJ~\~-~~-\C)~~ <br />JOB ADDRESS~ ~ ~\(::) ,--, \ \ 'l ~~~L-()\- 0~ ~ <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION't~~ \-\-~'\.C2S"\ <br />PARCEL 10 #~'--\~-~\-<-~O -~~"'}:')_:CJ:~'-\~ (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPSED: ~ CONSTRUCTION <br />OSIGN <br />PROPOSED USE: ~L FAMILY DWELLING <br />OCOMMERCIAL <br /> <br />IiJ-1\DDITION OALTERATION o REPAIR IY--1"NSTALL <br />o MOVE 0 DEMOLISH <br />OMULTI-FAMILY 0# OF UNITS ~IL~ HOME <br />o INDUSTRIAL o SWIMMING POOL d\~\(l~ <br /> <br />DESCRIPTION OF <br /> <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <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 />. <br />& (1) SET ENERGY FORMS. <br />FORMS,. -tr. ~l., 0 - :\ I <br />ZZ-ai.... r?q.l \J . <br /> <br />/7 Y. ~>:.. J2..u2...L. <br /> <br />~JI,..LDI NG <br />~CTRICAL <br /> <br />PERMITS REQUESTED <br /> <br />, <br /> <br />$ ~a'-\~:::52\ VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />o 'w?'~~~~~\ <br /> <br />o PLUMBING <br /> <br />o ME: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 AREAO YES 0 NO <br /> <br />.1 <br /> <br />BUIlDER ..... .,,~~~~~~ <br /> <br />~~ ... , ~ STATE CERT OR REGIST #~ ;:\ <br />SIGNATURE. ~l"":::o. ~~ CITY PROCESSING * C"\'':)Ls::, . <br /> <br />****************************************************************** <br /> <br />ELECTR~~ ~...... < : ~ ~ <br />SIGNATU~L'J.. ~ ~;:= <br /> <br />COMPANY~ ~ ~ \~~ L <br />~ATE 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 />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 />