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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 />/ .(l-/g-~ <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME S -te.\,) "2? CL ) 10 C \c <br />JOB ADDRESS /3 ';;}.3 L e-~~ 5 h ~-t. <br /> <br />PHONE _~ 13-1 g~- 7~3b <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # ~5 -d-~ -8-I-hOi-)A -OOCXJC'J- I ("W <br /> <br />(OBTAIN FROM PROPERTY TAX NPTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION D ADDITION '~LTERATION D REPAIR D INSTALL <br /> D SIGN D MOVE 0 DEMOLISH <br />PROPOSED USE :)2%GL FAMILY DWELLING DMULT I - FAMIL Y D# OF UNITS D MOB ILE HOME <br /> D COMMERC IAL D INDUSTRIAL D SWIMMING POOL D OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK f\ Ie <br />, <br /> <br />C~hCU\~er-)(..L.+ <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: A'rTACH (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 />PERMITS REQUESTED <br /> <br />D BUILDING' <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />FLORIDA POWER <br /> <br />D <br /> <br />~/.. <br /> <br />~.,{R.E.C. <br />/ -- ~ <br />/ ;I"<;? <br />2') <br /> <br />\ <br />i <br />I <br />I <br />:' <br /> <br />D PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />105".00 <br /> <br />( <br /> <br /> <br />VALUATION OF MECHANCIAL INSTALLA' ON <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />D SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />El. FRAME <br /> <br />o STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PRO,JECT IN FLOOD ZONE AREAD YES D NO <br /> <br /> <br />,_lNi.lj'll~ <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 COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL COMPANY Fr I ~ 54-ad-\'<; . Prl c -r (Ie . <br />SIGNATURE ~ g. ~1<JJ\./\tJL STATE CERT OR REGIST # C'8~ovr'7q '1Cj <br /> <br />********************************************************-******** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />