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<br />OWNER'S <br /> <br />NAM'\N~ '~~~ <br />ADDRESS ~~'. \ ~ <br />~ <br /> <br />Z0IL\L~ <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION , <br />BUILDING DEPARTMENT 5335 Sth STREET ZEPHYRHILLS, FL 33540 . ~~ ~cr9 <br />Phone:S13-7S0-0020 Fax:S13-7S0-0021 ~O~ <br />DATE RECEIVED i bo loCo <br />PLANS RBVIBW FRE <br /> <br />PHONE CONTAC{J1 ~-e83 - 3/ (p).. <br /> <br />... <br /> <br />JOB S 1'I'E <br /> <br />PARCEL ID # <br /> <br /> <br />BLOCK _\ <br /> <br />SUBDIVISION tel ~'-'.r t\.'.~U~ <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br /> <br />Os IGN <br /> <br />o ADDITION <br />[] MOVE <br /> <br />o ALTERATION <br /> <br />REPAIR '--..0 INSTALL <br /> <br />o DEMOLISH <br /> <br />PROPOSED O~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI - FAM1LY <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br /> <br />o INDUSTRIAL <br /> <br />o OTHER <br /> <br />DESCRIPTION OF <br /> <br />D <br /> <br />WURK ~\os:. 0 <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />W,~,'-)'S - '':::,\ u.Jc? 'S\ 7 , <br />SQUARE FOOTAGE ' ---- HEIGHT <br /> <br />K~I~ l.l.. \0 <br />> iN,',,} 0 .,15 <br /> <br />BUILDING SIZE <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 />NOL .-L <br /> <br />~ BUILDING <br />[] ELECTRICAL <br /> <br />PERMITS REQUESTED <br />$ 5loD cD <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />[] <br /> <br />W.R.E.C. <br /> <br />[] PLUMBING <br /> <br />[] MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[] GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />[] FRAME <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES' 0 NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />R~ <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBBR <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />****************************************************************** <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 /> <br />":'i1.~ir 1 iI. ,,".' * *,* .. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * <br />'<~i..\I1lll'l".' <br />