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<br />(~"il~{.1 I. IP-, <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 Sm St, Zephyrhills, FL 33542 <br />813-780-0020 FAX:S13-780-0021 <br /> <br />DATE RECEIVED <br /> <br />/- 7- of <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME F'" ~ Ft ,J c I ~ <br />JOB ADDRESS 6 J lJ J ~ fiR K Si <br /> <br />c fiR e D tJ~ ~ PHONE 7 I S"' - 03 Lj- ) <br />f'JlJk OS JP t pf)~ K. :z tf> H Y R..Jfll L S <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # D,,-;<6 .?J'-"'C';<o-i>O~'" PO)E? <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: (JNEW CONSTRUCTION <br /> <br />~~~N <br />PROPOSED USE: ~ FAMILY DWELLING <br />(J COMMERCIAL <br /> <br />(J ADDITION <br /> <br />IiI1\LTERATION <br /> <br />(J REPAIR <br /> <br />(J INSTALL <br /> <br />(J MOVE <br /> <br />(J DEMOLISH <br /> <br />(JMULTI-FAMILY <br />(J INDUSTRIAL <br /> <br />(J# OF UNITS <br />(J SWIMMING POOL <br /> <br />lIl110BILE HOME <br />(J OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK ~t:: Lv S It.! t:r <br />BUILDING SIZE '3 ~ I' y:., l;t I <br /> <br />c ,,1F!.i:. ~J.lr ~R.E.A <br /> <br />,tv'Tp A FI-.D~ 1L>1t- <br /> <br />SQUARE FOOTAGE <br /> <br />wg f <br />I' <br /> <br />HEIGHT <br /> <br />R l>o J1.1 <br />8" <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 />~ILDING <br />~ECTRICAL <br /> <br />$ <br /> <br />PERMITS REQUESTED <br /> <br />_~p VALUATION (JOF TOTAL CONSTRUCTION(J <br />__________ SERVICE FLORIDA POWER <br />fVll rJ I ~ uu..~ t cO <br /> <br />W.R.E,C. <br /> <br />(J PLUMBING <br />(J MECHANICAL $ <br />(J GAS Z"FING <br /> <br />~ <br /> <br />(J SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />(J OTHER <br />ft j..(ht.t I III'" ,.,. <br />aYFRAME'''''''- (J STEEL <br /> <br />(J OTHER <br /> <br />TYPE OF CONSTRUCTION: (J BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA(J YES ;t NO <br /> <br />CON~Q~:a!~ECTION <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />"" <br />"' <br /> <br />SIGNATURE <br /> <br />-r&~ <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 />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />