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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />1\ (\5/0<., <br /> <br />l <br />-::: <br /> <br />OWNER'S NAME V;\\"'({ ="LI ~~~ n' 2> Ii>0 <br />JOB ADDRESS c::;a. \ L\ ~ \ \ ~"\ V cl 2~ph'-l, "'\ \ \ ~ <br />\ <br /> <br />PHON~ 1">),&d-'15Si~ <br />f=' L ~ LI d- LJ '6 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL 10 # II d& J-J OO/D /t;fpOD Od-)O <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />KREPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />"-COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK --A1 Q (' ho f\~J'e () l )-t <br />BUILDING SIZE SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />CO~IMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />)( MECHANICAL <br /> <br />$ \~) dOD) Of') <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 <br /> <br />o NO <br /> <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <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 />SIGNATURE a~tr/~ <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br /> <br />-L I\C . <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />C <br /> <br />S"AMJ)I <br />.....,,,~..... ,..,..~";' -II' ********************* <br />,lIMItS 1lIIl__J ..0 "" h....~i! .~ <br />~tl?l~ 01') tw"1!lM1l';O .,,<~~ ~ <br />nuA trt.,'.,;!. h^~M,'~~.,tt v@i btbtJo8 1'(~'/~~~nu;:'I/''' <br />..,,-~ <br /> <br /> <br />.....11II..... . ~ ~ <br />~*;*'Wt.~.bficb~*~. * <br />!lreae .00 · 1\Oi.U1ItIO".:::t \i <br />.~ ~ 1MilMt", yI tItMl6 '.,f:.... ~ <br /> <br />** <br />