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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8ft St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 ,J <br />0;.. <br /> <br />DATE RECEIVED <br /> <br />! / <br />j-/ ~ y <br /> <br />,,' <br /> <br />/ <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />/-IAtfJoL-fj 8ff/~f) <br />J 1J9 jJ1,4t/f(Hi Tc I)~ <br /> <br />PHONE (17.3 7.J7 2- c.J3 ,? cf <br /> <br />JOB ADDRESS <br /> <br />LEGAtDESCRIPTION: LOT(S) BLOCK <br /> <br />~2~::~::~:I::qo ~::: <br /> <br />- J 310 <br /> <br />SUBDIVISION ~se:l- fb, /f/r <br />(OBTAIN FROM ROPER Y TAX NOTICE) <br /> <br />DSIGN <br />PROPOSED USE: ~ FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />DALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />oMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />II- i)f)/ / iv;J <br />7 I C X d' t'rO <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />-riJ JIIE b <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />63 S4Jt0- <br /> <br />HEIGHT <br /> <br />/D I <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMlERCIAL: 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 />I/ tft?- <br />'TO 0 ,~ <br /> <br />PERMITS REQUESTED <br /> <br />~ILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLill$ING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br />/- <br />IB"FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAo YES <br /> <br />~ <br /> <br />BUILDRR ^ Q <br />SIGNATURE ,/~tj~~ <br /> <br />C01ffltAC'l'ORi"SECTION <br />.' . ." ~""<",.~~, .'. ,.11 <br /> <br />COMPANY t/ ~ r9-uJ?bL <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 />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <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 />