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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 6~H St, Zephyrhills, FL 33542 <br />613-780-0020 FAX:813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S N~ -~ ~ PHONE ~C;:)-w:1.tf <br />JOB ADDRESS 3Cf:?l /~ (;> O,e; ./f~/ I ~fl- z - ;LfrLc5 , <br />LEGAL DESCRIPTION: LOT (S) 101- BLOCK ___ SUBDIVISION~JI-.,:C cJ~i::f <br />PlUZCEL ID # ~f-:;J..&~/-t)Q3C)-{)!:;Ca) -8]50 WB'I'!\,IN FROM PROPERTY TAX NOTICE). <br />WORK PROPSED: ~ CONSTRUCTION 0 ADDITION ClALTERATION 0 REPAIR 0 INSTALL <br /> <br />Os I GH <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAHILY DWELLING <br /> <br />o COMl'1ERCIAL <br /> <br />DHULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o HOBILE HOl <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ RESTAURANT & HEALTH DEPAR'I'HEN'l' APPROVlU, <br /> <br />/Dly~ ~ <br />SQUARE FOOTAGE td- 0 <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: A'l'TACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COl1i'iERCIAL: ATTACH (3) SETS OF BUIUJING PLANS & (1) SET ENERGY <br />IE' SIGN PERHIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY <br />FORHS . <br /> <br />-." <br /> <br /> <br />o BUILDING <br /> <br />$ /.~IJ<P e;J <br /> <br />, <br /> <br />PERMITS REQUESTED <br /> <br /> <br />;, (p00 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />[] W.R.E.C. <br /> <br />o PLUHBING <br /> <br />o MECHANICAL <br /> <br />$------ VALUATION OF ME:CHANCIAL INSTALLA'I'JON <br /> <br />lJ GAS <br /> <br />o ROOFING <br /> <br />[] SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />o FRANE <br /> <br />o STEEl, <br /> <br />CJ OTHER <br /> <br />FINISHED FLOOR EI,EVATIONS <br /> <br />IS PRO,JECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br />r--.----..-------.-------------.. <br /> <br />~._----_._-_.,,--_._-_._--_._--_.~.~_._._--_._-~.._..-.~_._-._~_._----_.~- <br />CONTRACTOR SECTION <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGl'TATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />******.****.,**..,*...************************************.******* <br /> <br />ELECTRICIAN <br /> <br />COMPANY. <br /> <br />S I GNA'rURE <br /> <br />STATE CERT OR REGIST # <br /> <br />k***************.*******.*******.************.******************** <br /> <br />PLUMBER <br /> <br />COl1PANY <br /> <br />-'_._----~---------.. <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />********i*A~*i*********i****************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />************************k****~**************************k****~*** <br /> <br /> <br />OTHERe~~C/1}1.r-~~..c::. COMPANY ~ullo c!cnoe...ek <br /> <br />STATE CERT OR REGIS'!' #__?._.:!~(~.____.______ <br />;? A:5co D7' 777 <br /> <br />