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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 />PHONE CONTACT FOR <br /> <br />OWNER'S NAM'l ~&J ~Cil /v{DS~ <br />JOB ADDRESS ~_ l~_ <br />LEGAL DESCRIPTION: LOT(S) 1?5 4/0 BLOCK //9 SUBDIVISION-- <br />PARCEL ID # 11- .2Jo-.2J-Cf)Jb- / jqOQ- 0"50 <br /> <br />DATE RECE IVED <br /> <br />PERMITTING ~lj.//~17 <br /> <br />PHONE _8J~'77q. //JiL <br /> <br />(OBTAIN FROM PROPERTY TAX NOTIC~) <br /> <br />WORK PROPSED: ~EW CONSTRUCTION <br />DSIGN <br /> <br />DADDITION <br /> <br />DALTERATION <br /> <br />D REPAIR <br /> <br />o INSTAl,L <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWEI,LING OMT.JI,TI-FAMII.Y 0# OF UNITS 0 MOBILE HOME <br />o COMMERCIAL 0 INDUSTRIAL 0 SWIMMING POOL f<.. OTHER <br />tt'/rl.Ull-/itiJy VV~ CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL, <br />D'SCRIPTION OF WO;/()fJ<!flnbIv-ef pe--#h (] !/)f)7Jaum 0hlLI <br /> <br />BUILDtNG SIZE SQUARE FOOTAGE HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PI,ANS & (I) SET ENERC;Y FORMS. <br />COMMtRCIAL: 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 />.~BUILDING <br />o ELECTRICAL <br /> <br />$y:t~ <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <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 CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PRO,JECT IN FLOOD ZONE MEAD YES <br /> <br />o NO <br /> <br /> <br />STATE CERT <br /> <br /> <br />C' . ~'lii."ji1Ol""^ti"'[;.'liRhl+~ <br />"".-~_.,~M,~~~~,~~J;;"@~i~~:~~~; <br /> <br />SIGNATURE..... <br /> <br /> <br />COMPANY.- ' <br /> <br />BUILDER <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 />MECHAN I CAL <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 />