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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />B13-7BO-0020 FAX:B13-7BO-0021 <br /> <br />DATE RECE IVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />O"NER'S NAME ale -a;. ~ PHONE {/f5-%r <br />JOB ADDRESS 3 '1107 Co? ~// /~c>p 2- t:-fh;.LS <br />LEGAL DESCRIPTION: LOT (8) / /6 BLOCK SUBDIVISIONt?J~hc.-t.J/.J-1\0 ~/~. <br />PARCEL ID # ;;;;. 4 -,d.-G -~/ - 0 07o--cooaJ -('")7/faRTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~ONSTRUCTION o ADDITION o AL'rERATI ON o REPAIR o INSTALL <br /> OSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: OSGL FAMILY DWELLING OMULT I - FAMIL Y 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />/O<(~~ 4/2)t/~ <br /> <br />, <br /> <br />SQUARE FOOTAGE ~ <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (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 />BUILDING SIZE <br /> <br />HEIGHT <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br /> <br />o BUILDING. <br /> <br />$ /,~OO- tP 0 <br />. <br /> <br />PERMITS REQUESTED <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 />D MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />o SPECIALTY <br /> <br />o O'l'HER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br />---------.---------.--------.------------ <br />, <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 />************"*******************'**********************'********* <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />OT.ER e?M~'?;;::~" ...., 'H''':::~:~<':;/.,''C:~~ <br /> <br />STGNAT~~~/ STATE eERT OR REGIST # ~-q~'<,,> <br />) /~o. ~77 <br />