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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />7/3-;}73) <br />9/C) ;2s-S--6413 <br /> <br />OWNER'S NAME 1:: 0 e.--;;p <br />JOB ADDRESS 250? /O(}rlf}/Tll",f( () v <br />LEGAL DESCRIPTION: LOT(S) ;2~~ <br /> <br />PHONE <br /> <br />SUBDIVISION fmcr4k:J f)f <br />/ <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />BLOCK <br /> <br />PARCEL ID # <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[J SIGN <br /> <br />[JADDITION <br /> <br />[JALTERATION <br /> <br />[J REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGIJ FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULT 1- FAMIL Y <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOB HE HOME <br />[J OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />/)nUc. t SlR8 <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF' BUILDING PLANS & (1) SET ENERGY FORMS. <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 />L{)st- JCf9J,OJ <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 />D FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />[J PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />[J 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 AREAD YES <br /> <br />D NO <br /> <br />L_..._.___________.__~________ <br /> <br />p(>ltt~Q~g~'\'.~c.~.~()~ <br /> <br />~ <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 />STA.TE CERT OR REGIS,], # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />********************************************************.c******** <br /> <br />OTHER <br /> <br />Otuk-~ <br /> <br />COMPANY 'Ti/SqJN W;.(OrcA- <br />/ <br />STATE CERT OR REGIST # )5] 1 <br /> <br />SIGNATURE <br />