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<br />CITY OFZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />i /;lj /t)~ <br /> <br />I - , <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME /)19 U II) /I/l H / L TO AI <br />JOB ADDRESS,1>t?t33 WIN/) r~t:JUJ~?( <p UE. <br /> <br />PHONE C;j~) )fi:3 ~ &>7'1 <br /> <br />LEGA.L DESCRIPTION: LOT (S) -LI. BLOCK <br />PARCEL ID # OJ-J~-,;tI-O~o-CtxXO-OtLD <br /> <br />SUBDIVISION5~Ef?V Aih..l..(d(u <br />!t4lJ;'.<.E' E 57r <br />(OBTAIN FROM PROPERTY TAX NOTICF.1 <br /> <br />WORK PROPSED: (JNEW CONSTRUCTION <br />DSIGN <br />PROPOSED USE: ~GL FAMILY DWELLING <br />(] COMMERC IAL <br /> <br />IiJ'ADDI T ION <br />DMOVE <br /> <br />DALTERATION <br /> <br />D REPAIR <br /> <br />(] INSTALL <br /> <br />(] DEMOLISH <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />o SWIMMING POOL <br /> <br />~OBILE HOME <br />D OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OP WORK t: /. 0 RI pI? f(ON., -{ tJEI>-R.OM1 -<,~:{;1, v,;1 <br />,.,/ ') 'Y' I / I / If <br />BUILDING SIZE / (Y )( ~ 0 SQUARE FOOTAGE ;Z <g- t5 HEIGHT <0 " <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 />[B"'BtJI L DING <br />ri ELECTRICAL <br /> <br />$ <br /> <br />PERMITS REQUESTED <br />5~ ODO , 00 VALUATION OF TOTAL CONSTRUCTION <br /> <br /> <br />AMP SERVICE <br /> <br />~. FLORIDA POWER <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />(] PLUMBING <br />(] MECHAN I CA.L <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />(] GAS <br /> <br />D ROOFING <br /> <br />(] SPECIALTY' (] OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />rn--oTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE MEAD YES ll:rNO <br /> <br /> <br />BUILDER <br />SIGNATURE C[:;a.. ~ ~ ?I~~~ <br /> <br /> <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICI~ <br /> <br />SIGNATURE ~~~~d2 Wd2.62~ <br /> <br />COMPANY !JW"'-V-t." <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 />MECHANICAL <br /> <br />****************************************************************** <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 /> <br />------~-- <br />