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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 RECE IVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME C;;~~ ~ W:P.iJ <br />JOB ADDRESS 35".3 / ~NU:!4ILN':::- Dt?. <br />LEGAL DESCRIPTION: LOT (S) 2 <,2 BLOCK <br /> <br />PHONE --0 V - 92- q,- I~/ 0 q <br />r <br />~ ~ PhI r 17:/& F'L. .3~ r::-;- 2- <br />SUBDIVISION ~Ll j; R JlLd ~~ i /.ff~ <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~EW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INS'l'ALL <br /> <br />Os I GN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />~;~ER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK 7,,</<; 114-/ / ,.J U 1J-c:-1S /,20 t/ <br />3TJILDING SIZE /0 X ,':)./2 SQUARE FOOTAGE ~;( 0 HEIGHT <br /> <br />9FT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SE'l'S OF BUILDING PLANS & (1) SET ENERGY FOf}MS. <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 />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~ ELECTRICAL <br /> <br />/,2&)/f <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />51 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />d? IN) r- ~ <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 OF CONS TRUCT ION: [1 BLOCK <br /> <br />fiI FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FIN I SHED F'LOOR ELEVli_TI ONS <br /> <br />IS PROc1ECT IN FLOOD ZONE AREAO YES <br /> <br />l8I. NO <br /> <br /> <br />~:~ .J\ff:~ <br />BUILDER ~ J 6.:1I3ZA iA ~ ~ COMPANY <br /> <br />SIGNATURE STATE CER'l' OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE O:u% '-' "',-lID <br /> <br />COMPANY <br /> <br />o tJ-f\V/ <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 />