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<br />(";n-"1 ~uJot.?d. "7&' z.. - 33 1'7 <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 / / ,d <br />DATE RECEIVED a~ I~ t)"r <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME SOYl e s r1 e 1 SP)\. r F~ 4(\ ces <br />JOB ADDRESS ~ncre~+ rvtoloci~ #P>>1e ~/c <br /> <br />PHONE <br /> <br />(Jo3~ !lM?td St. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL ID # t/:3 .;;. (P e9. / ~.R It) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br />D .s I GN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />t9c>CJotJ RVJO (OBTAIN FROM PROPERTY TAX NOTICE) <br />D ADDITION DALTERATION o REPAIR o INSTATJL <br />o MOVE D DEMOLISH <br />DMULTI-FAMILY D# OF UNITS D MOBILE HOME <br />D INDUSTRIAL D SWIMMING POOL, D OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK .'ie..\,.I\~C' L41v'r4-J<: l5"O ~ <br /> <br />+" ~M I'1""t <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLO'l' PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORl1S. <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 />-v <br />~}~5 <br /> <br />D BUILDING <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL <br /> <br />d<"" <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />~ W,R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />[] ROOFING <br /> <br />[] SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE /\READ YES 0 NO <br /> <br />L_~__.____. <br /> <br />.' .' ........~.i.,..~ti':,.' ....O,.:t... ] <br />QQ~"~~~~~~~tll,'+,,,.'Ql"t <br />---"--.-.----...-. --------.-.,------...-,--- <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICI~ COMP.ANY ~"/'h'~ E?~ehlc <br /> <br />SIGNATURE ~~~~ ~~ STATE CERT OR REGIST # ECOOtJ/2{,F <br />(-,-1,,/ ~3 7 <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 />