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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 /:1.. -;fI-o:5 <br />DATE RECE IVED . <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />Ricardo M. Gomez a/k/a <br />OWNER'S NAME IJ / of I ( G tl t/Y7 e 2-, President of Best of PHONE Y / 3- 9 f'0- - 6 t? t7 (} <br />3 0'1 -;( - 7 J . .11 . the Bfty Real ty, rnc. <br />JOB ADDRESS 5 3 I ~ S /. ..2er/17/J JUt/'LL 5 / F ~. 33 67"'"2-- 0 <br />I <br /> <br />LEGAL DESCRIP'l'ION: LOT (5) <br /> <br />7 <br /> <br />BLOCK 153 <br /> <br />SUBDIVISION <br /> <br />Town of Zephyrhills <br /> <br />PARCEL ID # <br /> <br />11-26-21-0010-15300-0075 <br /> <br />(OBTAIN FROM PROPERTY TAX ~OTICEl <br /> <br />WORK PROPSED: (JNEW CONSTRUCTION <br /> <br />(J ADDITION <br /> <br />[JALTERATION <br /> <br />o REPAIR ~INSTALL <br />r 17"101 T e,4l\/d f' '/ <br /> <br />[J SIGN <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />:fiCOMMERCIAL <br /> <br />(] MOVE <br /> <br />(J DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[J OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK ~lJnlT eHA/tf~~ ;/I/;'f.I/e/f (;4et'!Ai W/('t/M//I/I.'/ N#/ftfe(1t4/;;;k~s) <br />SPa' #7T'H'.4t?t:/ ~4t!/tf!:Rt- <br />BUILDING SIZE //;2...[ S...c. SQUARE FOOTAGE // 2-.j S f-' HEIGHT <br /> <br />[J BUILDING <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: A'TTACH (3) SETS m' BUILDING PLANS & (1) SET ENERGY FORM~I <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. ~ <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. '-;Jot"" ,.J~ 'J!/\ _, <br />.5 J 0 j ~L~I <br /> <br />PERMITS REQUESTED ( ~ Fi.-,:y) tuTti,\!. . ST,1.Ju;.,) <br /> <br />Cc. ~J.\.o\ 11 n.:..~ Pr-.ll'f.-'l"> Y V" "- <br />VALUATION OF TOTAL CONSTRUCTION <br />~.~. <br /> <br />$ <br /> <br />[J ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[J <br /> <br />FLORIDA POWER <br /> <br />[J W.R.E.C. <br />, rt1...l \::.i\.. {.:::> <br />~~P~. <br />INSTALLA'rION. . <br />~b.~:.:r:. <br /> <br /> <br />o PLUMBING <br />(J MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL <br />~HER <br /> <br />[J GAS 0 ROOFING [J SPECIALTY <br />'I'YPE OF CONSTRUCTION: ~LOCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVA'rIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES ~O <br /> <br /> <br /> <br />BUILDER ,_Y-d- .. <br />SIGNA'l'lJRE ~~F-7-v tin5 S1'ATE CERT OR REGIST # <br />****************************************************************** <br /> <br />COMPANY 1/ <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 />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />