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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 RECE IVED <br /> <br />( f~/nr <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />PARCEL ID # <br /> <br />/U €t>>.s Oj4/) ~ <br />73.- Lib f/;~ h 4v./ L-CJo ~ <br />7 <br />'3 ~-;{ ~--~ 1- 0/00 -()CJOt)C)- 0070 <br /> <br />PHONE <br /> <br />(0.2 / -j ~-() ZJ <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />00- Ir /dun, <br /> <br />(OBTAIN FROM PROPERTY TAX-NOTICE) <br /> <br />WORK I?ROPSED: DNEW CONSTRUCTION o ADDITION DALTEPATION o REPAIR o INSTAI,L <br /> DSIGN o MOVE 0 DEMOl,ISH <br />PROPOSED USE: DSGL FAMILY DWELLING DMULTI - FAMIL Y 0# OF UNITS o MOB ILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />?oo L ~0ct. oga~ r-'--P, <br /> <br />BUILDtNG SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />~/ <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF <br /> <br /> <br /> <br />T ENERGY FORNS. <br /> <br />RESIDtNTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING <br />COMMtRCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY F9RMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. . <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />-'~ <br /> <br />PERMITS REQUESTED <br /> <br />rG ) yJ// <br />\, . -_/ <br /> <br />...._.~--_.....,.....-_...-'--~ <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C, <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o <br /> <br />fo if I~ ~:;bJd! <br />VALUATION OF MECHANCIAL INSTALLATION?, ~ <br />(~h ) r 0 () <br />o OTHER egO) 0;)1 ~ 5:> <br />o FRAME 0 STEEL 0 OTHER <br /> <br />o PLUMBING <br />o MECHANICAL $ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <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 />SIGN~TURE <br /> <br />STATE CERT OR REGIST # <br /> <br />MEC~ICAL <br /> <br />COMPANY <br /> <br /> <br />*** <br /> <br />ficCA.a~~ <br />ff..0' CC:__ DJ-~ (,.2/ <br /> <br />*******************************************************,,********** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />************************************************************ <br /> <br />STATE CERT OR REG~ <br />****************************'*********************~~ <br /> <br />::::tRE ~ - ::::~~ERT OR REGIS'[ <br /> <br />SIGNATURE <br />