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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 /;2 - '1- 03 <br />DATE RECEIVED __---:_ <br /> <br />PHONE CONTACT FOR PERMIT'l'ING <br /> <br />OWNER'S NAME <br /> <br />G,\~ <br />b~LjL <br /> <br />vV\ ~ ~~ \ \ ~ o'{'- <br />B', ( ""^' " y\. C) ~ 0- v.-..., <br /> <br />PHONE <br /> <br />JOB ADORE SS <br /> <br />1,EGAI, DESCRIPTION: LOT (S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />__LOB.IAIN FEmLPROPERTY 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 />OCOMMERCIAL <br /> <br />(JMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMHII.ilG POOL <br /> <br />(J MOB I LE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />D RESTAURANT & H'1"TH, DEPARTMF.S APPROVAl, \ <br />Th'>~\_~'~ ~~d\OoQ" Sf~'\,~ \V' <br /> <br />SQUARE FOOTAGE HEIGHT <br /> <br />5-( ~~ <br /> <br />DESCRIPTION OF WORK <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF' BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (l) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF' ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />& (1) SET ENERG'y__-FOBl1$. <br />FORMS. '//-".''', <br />/ - -1\ <br />/ -- ) <br />/ h'tJ I <br />/ ~5'd' / <br />lL_-/ <br /> <br />PERMITS REQUESTED <br /> <br />D ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />D PLUMBING <br />D MECHANH::AL <br /> <br />$ <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: D BLOCK <br /> <br />D FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE MEAD YES 0 NO <br /> <br />I . <br />'--~._----'-"-'._^-._- <br /> <br />CON'TRAOTQRismCTION <br /> <br />_u~".____,_u,J <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 />STATE CERT OR REGIST # <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 8EGIST It _._______ <br /> <br />********************************************~******************** <br /> <br />OTHER 4rq,..,~ \-vr- ~~~ <br />SIGNATURE; ~/,/ ~ <br /> <br />COMPANY 'l3~ ~""l::~ '" ~ ~(" . <br /> <br />STATE CERT OR REGIST It <br />