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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION I 03 <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 1:2- - "" <br />813-780-0020 FAX: 813-780-0021 i L-;:). '/:z:;r:;j <br />DATE RECEIVED ~__ 1:: <br /> <br />PHONE CONTACT FOR PERMITTING 7rf d - f-€ J. - ~ <br /> <br />OWNER'S NAME \!T.VV1 <br />JOB ADDRESS 5;)5/ <br /> <br />/"r 00 r e <br />/914 sf <br /> <br />PHONE _.7/?d-. - fits Y <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVI S ION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: (JNEW CONSTRUCTION <br /> <br />(JADDITION <br /> <br />(JALTERATION <br /> <br />(J REPAIR <br /> <br />(J INSTALL <br /> <br />(J SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />(J COMMERC IAL <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 />D <br />DESCRIPTION OF WORK L/?5 ~// <br />BUILDING SIZE / t 'X/'1 <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />b/fr?k V~ <br />/ <br /> <br />/!/X/Y,s-jd /'--1 <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />10 I <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOffi1S. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />VALUATION OF <br /> <br />~ f<- u.aJ j)fl" <br /> <br />gU:luJI!'l~ ~fL <br />6M:jN~NCl (~4\:""~ <br /> <br />Wifr1 II D ~fJt <br />TOTAL CONSTRUCTION tfi,Ju.Ji?L ~J) <br /> <br />FLOR I DA POWER 0 W . R . E . C . {l:6c7 \J {~i.I.> <br /> <br />/~\ <br />~ rf' <br /> <br />~UILDING <br /> <br />$ <br /> <br />25 0 ' oP <br /> <br />PERMITS REQUESTED <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAJ, INSTALI,ATION 5~ ~ <br />o OTHER <br /> <br />$ <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 />I S PROJECT IN FLOOD ZONE AREAD yF.;S 0 NO <br /> <br />L _~_____._________.___.____. <br /> <br />CO~Cj.JK5"'1~' IO'!ON <br />"." ",f.'.. ,,', "",,,,,",..ft;,.~,.,,\.,~, ",0'", <br /> <br />._--~----___________._J <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />********************************************************,,********* <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />~2~~~ <br /> <br />COMPANY <br /> <br />OvJf\VY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />