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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 />/-? 7'~1 <br /> <br />OWNER'S NAME VO()o\'~l.( I~ bEV'~ <br />JOB ADDRESS :J'Id-. '1 (~ r-h S t, <br />LEGAL DESCRIPTION: LOT(S) ~O BLOCK lyE <br />PARCEL ID # " -~b-,~I- DolO -)t{SOO ,- b~30 <br /> <br />! B{'/~t, t !olne <br /> <br />PHONE <br /> <br />7a-7 - Cf3g -1;M.'/ , <br />PNY/If OR-- II ~])1 <br />f - 7 ~ ~ L/ <br /> <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br /> <br />SUBDIVISION <br /> <br />Z€.\Ohtt('h; 11\ <br />(QBTl\IN FROM PROpERTY :I'AX NOT.I..C.E.L- <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />EfiNSTALL <br /> <br />Os I GN <br />PROPOSED USE: U?SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOl,ISH <br /> <br />OMULT I - FAMIL Y <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SW IMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK -11<<( '€vn-et1 t D F POl.U~ ra, ~tt~'9l~ ,-CAT lJ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 />PERMITS REQUESTED <br /> <br />[] BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o EI,ECTRICAL <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 />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 PRO,JECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />~~';';'I" <br /> <br /> <br />BUILDER <br /> <br />~ .I <br />COMPANY , T: <br /> <br />'-1 Cg ~ -' .l <br /> <br />:'J -- ~d. <br />, , <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRI~ ^- L COMPANY At~ {;/-ec_tn'c (CM~~ <br />SIGNATURE-1S1M 41j~ ST~TEflRT OR REGIST # 8~93 <br />.................................... .':t/~~~.7/: .;.20~ <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 />