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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 PERMITTING <br /> <br />I f30 /0 j/ <br />DATE RECE IVED I '" <br />1'?f-/~J~ <br />. <br /> <br />OWNER'S NAME OJ/plA It.. /Jl ~ G It: <br />JOB ADDRESS 3t:fO ~ fh 1/ Iv II. e /II r C b,e . <br />LEGAL DESCRIPTION: LOT(S) v/ <br />rJ.1--rJ.r.. -.;../- OOil.O-OtJrJOO- Oell0 <br /> <br />11Y- /~<ftJ <br />Z Gr'fly If, !IlL- LS, F L 3J..J~D <br /> <br />PHONE <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: BfNEW CONSTRUCTION a;n\DDITION DALTERATION D REPAIR D INSTALL <br /> DSIGN DMOVE D DEMOLISH <br />PROPOSED USE: DSGTJ FAMILY DWELLING DMULTI-FAMILY D# OF UNITS D MOBILE HOME <br /> D COMMERCIAL D INDUSTRIAL D SWIMMING POOL D OTHER <br /> <br />" / f}f) 1"1 L. ;10 Bee D RESTAURANT & <br />Wa..XJt.o un r / IIID pll.1wJo. .. 1/ '. <br />DESCRIPTION OF WORK 1'tb X 1 (0 <br />1 {0 X 1 '~ . <br /> <br />1111 <br /> <br />HEALTH DEPARTMENT APPROVAL !3U/LD/,vG ~ 40F <br />.S /0 IG A. 6 G' IS Ule.. ~ 1M ~ If;olll/J G6TClJ /0 <br /> <br />SQUARE FOOTAGE HEIGHT If - /0 r 7' <br /> <br />BUILDtNG SIZE <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 />[9"" BUILDING <br /> <br />MJ <br />$ t;l.f. <br />tJo ,.1,; <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />D PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />o ROOFING <br /> <br />D SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES & NO <br /> <br /> <br /> <br />__sa'fLlJi:k ' &/C;VIVIHZ <br />SIGNATURE;( C4f.~.-.-,~ ~: <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />- <br /> <br />****************************************************************** <br /> <br />ELECTRtCIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATO'RE <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 />