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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8R St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME (Y) GlcA e. ( ~ VI, K e (f ~ y <br />JOB fU)DRESS "3 q "3 L{ 7 _ q f ~ l4--v-e <br />LEGAt DESCRIPTION: LOT (S) '3 S- BLOCK 000 <br /> <br />PHONE }5 Is -'7 & X-- ~-II <;/ <br /> <br />SUBDIVISION S4f'J5'e.r Z5fct~5 <br /> <br />PARC~L ID # <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[J SIGN <br />PROPOSED USE: ~AMILY DWELLING <br />[J COMMERCIAL <br /> <br />[J ADDITION <br /> <br />{OBTAIN FROM PROPF.RTY TAX NOTICEl <br />[JALTERATION ~R [J INSTALL <br />[J DEMOLISH <br /> <br />D MOVE <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />D SWIMMING POOL <br /> <br />[J MOBILE HOME <br />D OTHER <br /> <br />D RESTAURANT <br />DESC!tIPTION OF WORK ~ e Roc:>f <br />BUILDING SIZE '3sY >5"" <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />SQUARE FOOTAGE <br /> <br />1970 <br /> <br />HEIGHT <br /> <br />RESI~NTIAL: 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 />[J BUILIDING <br />[J ELECTRICAL <br /> <br />$ <br /> <br />25'"7 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />[J W.R.E.C. <br /> <br />[J PLUMBING <br />[J MECHANICAL $ <br />[J GAS ~G [J SPECIALTY <br />TYPE OF CONSTRUCTION: ~K <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D OTHER <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br />p()~~~>S:&:(JTIO~ <br /> <br />BUILDER <br /> <br />SIGNAT1lJRE <br /> <br />iJ0-8^~ <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRtCIAN <br /> <br />COMPANY <br /> <br />, <br /> <br />SIGNAT{lRE <br /> <br />STATE CERT OR REGIST # <br /> <br />I <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />SIGNATU~ <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATU1li; <br /> <br />STATE CERT OR REGIST # <br />