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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, H'L 33542 <br />813-780-0020 FAX:813-780-0021 ~ ~t? ~.S- <br />DATE RECEIVED ~ ~ <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAM~~\~~\ \:-\l'i.'\C~ \'\\\\0 PHONE'b~=\~-\N~~ <br />JOB ADDRESS ~~ \ \. t \'\ \'J'\St:-~"'~ _ "-C:>\- c:;S~~ <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISIO~ ~""\"''f'\.~ ~rx'\'"C~ <br />PARCEL ID # ~\~~~\<::::f)\t."')~~~t(QBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~W CONSTRUCTION <br /> <br />O-1illDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />~ALL <br /> <br />o SIGN <br /> <br />PROPOSED USE: ~ FAMILY DWELLING <br />o COMMERC IAL <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 />~THER <br />p.,\~''''0\'fl <br /> <br />DESCRIPTION OF <br /> <br /> <br />RESTAURANT <br /> <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE~~~ <br /> <br />HEIGHT <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 />~CTRICAL <br /> <br />PERMITS REQUESTED <br />$\~ \~ .~~ VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER 0 W,R,E,C, <br />.......-.::>.\\~ ~,,~~ <br /> <br />o PLUMBING <br /> <br />o ~1F:CHANICAL <br /> <br />$ <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 />BUILDER COMPANY <br />~ c:~' _~. ~ STATE CERT ORREGIST # <br />SIGNATUREe. ~ ~ r ~ ~ ~ CITY PROCESS:rJG # ~~c, <br />iFf '1. ' ~ <br /> <br />**************************************************:7*)*;********** <br /> <br /> <br />IS PROJECT IN FLOOD ZONE AREA 0 YES 0 NO <br /> <br />ELECTRICIAN ~ ~COMPANY~~~\~~{~ <br /><:::::::: . . ...., ~ STATE CERT OR REGIST # <br />SIGNAT~~~ ~ _ =-- CITY PROCESSING I \~I <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 />