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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 RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S N1\ME~ -~ S;;/e-5 <br />57ffl-7 6>tf ~// <br />LEGAL DESCRIPTION: LOT (S) /~.J-- BLOCK SUBDIVISION~~~cC. 0-1-/<5 .I./t J . <br />PARCEL ID # ;;;;;4--d-{p.-,-;)/- 06.?O-~ -- 0750 (OBTAIN FROM PROPERTY TAX NOTICE\ <br />WORK PROPSED: ~NSTRUCTION 0 ADDITION OALTERATION 0 REPAIR 0 INSTALL <br /> <br />PHONE <br /> <br />6Cf 5, qqV- <br /> <br />JOB ADDRESS <br /> <br />/..c;7c.;J ~ <br />. <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE:OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMUI,TI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOB ILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ RES,!'AURANT & HEAL'l'H DEPARTMENT APPRgVAL <br /> <br />/C;</C~ <br /> <br />" <br /> <br />~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE ~ <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />CONHERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS m" ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />o BUILDING <br /> <br />PERMITS REQUESTED <br />$15d'c)ed?~ VALUATION OF TOTAL CONSTRUCTION <br /> <br /> <br />~- <br />, , ~ 0 I <br />jJd <br /> <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o NECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE m' CONSTRUCTION: 0 BLOCK <br /> <br />o FRAM~~ <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />,------.----- <br /> <br />c:e>~OTOR'{:$I:C*.rXQM <br /> <br />BUILDER <br /> <br />CONPANY <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 />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br /> <br />OTHERUn{~*-Cfm/~/L- COMPANY~CII/O (!rJ)1ck.ek .~_ <br /> <br />SIGNA~ ~~ 1"-- STATE CERT OR REGIS'J' #M~~H'/-'U:_ <br />~(b.jr 07777 <br />