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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 />OWNER'S NAME <br /> <br />iJuJ-JL <br /> <br />DATE RECEIVED <br />PHONE CONTACT FOR PERMITTING 7'/ Y --;2.752- <br /> <br />PHONE ft,? -) 7'52 <br /> <br />JOB ADDRESS 35,--/ S 19;Y/ I c.., <br />LEGAL DESCRIPTION: LOT (8) iol.2() c; <br />PARCEL 10 # <br /> <br />SUBDIVISION hJ1eri),ifJ PI: <br /> <br />BLOCK <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE\ <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br />[] SIGN <br />PROPOSED USE: OSGL FAMHY DWELLING <br />o COMMERC IAL <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMHY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOB I LE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEALTH DEPAF3MENT APPROVAL <br />(6A/&c:Jc ()nu c .r-/ArV It) <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDtNTIAL: 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 />PERMITS REQUESTED <br /> <br />o BUILDING <br />o ELECTRICAL <br /> <br />$flfJ)O - <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W,R.E,C. <br /> <br />o PLUMBING <br />[] MECHANICA.L <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <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.'. G.Lrt. <- <br />SIGNATURE fJ - ~ <br /> <br />***************************************************************** <br /> <br />--. /" oI~A- <br />COMPANY / (/SOIl/ LtJ <br />, <br /> <br />STATE CERT OR REGIST # cf!IVjJ- <br />