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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 lVED -- <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNeR'S NAME0.p..--f ~ (~ PHONE tAL)- mr <br />JOB ADDRESS 3Wtf-'3 C ~ t0~,L~ ~-1'7,.:; <br />LEGAL DESCRIP'l'ION: LO'l' (5) / I / BLOCK ___ SUBDIVISION/11~eJf-~ O1-,cS <br />PJ..RCEL ID # c;./!-d-{,-;)-/ -WgD-t:<::;(Xx)-6 75"0 (OBTAIN FROM PfWPERTY TAX NOTICE) <br />WORK PROPSED: ~ONSTRUCTION 0 ADDITION DALTERATION <br /> <br />o REPAIR <br /> <br />D INSTALL <br /> <br />Os I GN <br /> <br />o MOVE <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE: DSGL F~iILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-F~HLY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOH! <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />o Rf<.~STAURANT & HEALTH <br /> <br />r ~ X 5<::::> <br /> <br />DEPARTMENT APPROVAl, <br /> <br />~/J~ <br /> <br />FOOTAGE ~ <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />SQUARE <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COl1HERCIAI,: ATTACH (3) SETS DE' BUIIoDING PLANS & (1) SET ENERGY FORMS. <br />IE' SIGN PERMIT ONLY (2) SETS OF' ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o BUILDING <br /> <br />PERMITS REQUESTED <br />J ~D - &J -'2- VALUATION OF TOTAL CONSTRUCTION <br /> <br /> <br />) <br /> <br />$ <br /> <br />---------- <br /> <br />o ELEcrRlCAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />[) SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />D O'I'HEF <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED F'LOOR El.EVATIONS <br /> <br />IS PROJECl' IN FLOOD ZONE AREAD YES 0 NO <br /> <br />r----. -----..-.-.-------.-.----.--.-----.---.~-c__. ---::c-----::-~.._.-.-.-.u.-.~=........ .... ----..---..-----.---.-----.----.------.-.----. <br />CON'rRA.CTOR')<;~~~t,rION . . . <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 />S I GloJ"ATUR E <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COHPANY <br /> <br />SIGNATURE; <br /> <br />STATE CERT OR REGIST # <br /> <br />k*********~********************~********************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />OTHER C~"C;; ;;;;;;;~ "~~."~::::~~;~. '*?;;;~A'-de <br />~ <br />SIGNA'I'URE . <br />'. . ~__ STATE CERT OR <br /> <br />HEGIS'l' # '-7-HL(r r- <br />-,--~.__.._-,..._----.~-_..,--------.."._._. <br /> <br />jJ/?)COr 6777"] <br />