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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 RECEIVED <br /> <br />1;,)7/~V <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME fA) A 5ocR-o <br />JOB ADDRESS ",?? 5 ( ~ F:>. 'C CJ?~ oS r <br /> <br />CAl fit 'f <br /> <br />PHONE 813-7~8-'8Ja.- <br />7~ fn!l~ , Fi 3 5~rtO <br />, <br /> <br />LEGAL DESCRIPTION: IJOT (S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL If) # O~ ~.;l ~ - ~/O. :l. ,!O - DODO 0 - DOS 0 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />Os I GN <br />PROPOSED USE: 08GL FAMILY DWELLING <br />o COMM"ERCIAL <br /> <br />o ADDITION <br />o MOVE <br /> <br />[}}ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMM"ING POOL <br /> <br />o MOB I LE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />BE- P/AC€ of 3 'lL T<tfJ {4~~ P, S't..sli-M. <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PI,OT 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 EIJECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />o PLUMBING <br />lZJ. MECHANICAL <br /> <br />$ 3 C} '15 . ~ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />D 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 />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE MEAD YES D NO <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 /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />*************************){******************** <br /> <br />COMPANY ~/~5 !l/c.ii/e-4-hNj. <br />STATE CERT OR REGIST # 1!/4-(!ot..fz.t.'? '" ~O <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />