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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 STR St, Zephyrhills, FL 33542 ~. I <br />S13-7S0-0020 FAX: 813-7BO-0021 3/ () t.../ <br />DATE RECEIVED , +- <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />C~Vllv"7 U~ <br />55r II~ (5~~t. <br /> <br />PHONE <br /> <br />_ ~ 7!:. Z I Z/ <br />I;-~ .JJ,,~ <br /> <br />JOB ADDRESS <br /> <br />:38 /1 P- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: [JNEW CONSTRUCTION <br />~IGN <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />[JADDITION <br />[J MOVE <br /> <br />[JALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULT I - 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 />CJ RESTAURANT & HEAIJTH DEPARTMENT APPROVAL <br />-p Ld (J "'\. <br />( <br /> <br />S"' (,t "'- <br /> <br />BUILDING SIZE <br /> <br />I <br />SQUARE FOOTAGE -' 00 <br /> <br />HEIGHT <br /> <br />Z-C') <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORM.S . <br /> <br />o BUILDING <br /> <br />$ <br /> <br />'\ <br /> <br />PERMITS REQUESTED -if ;J1:Jt/ <br />VALUATION OF TOTAL CONSTRUCTION\ ~// <br />\ <br /> <br />D~~_C._d . <br /> <br />/ <br /> <br />.,.' <br /> <br />o EIJECTRICAL <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />[] PLUMBING <br />[] MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALL1\.TION Dl>h.. <br /> <br />[] GAS <br /> <br />[] ROOFING <br /> <br />[] SPECIALTY <br /> <br />[] OTHER <br /> <br />(PI) <br /> <br />Gc;5~ / ~ 6 f <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />[] FRAME <br /> <br />o STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PRO,JECT IN FLOOD ZONE. AREA[] YES 0 NO <br /> <br />[ : CON1'lU\.Q'1'OIt\$m~~:to~ <br />._-L~_._________________ .',' ,:.. .., .... ,..'....."..-.-'....--..., ,";-., ,', .,,;.....-:'i..,... .'0"_,,,- " .~~_._____ --=---1f <br /> <br /> <br />:::::RE. 17 /J~A/ ~ ::::~:E~:':~;~ S;t~ <br />~~r;/~ <br /> <br />J <br /> <br />****************************************************************** <br /> <br />ELECTtUCI(I~ ~. J~ <br />SIGNATURi'L ,~ <br /> <br />COMPANY -I1t:+/~ 1f::.7~~ITlr <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLt...'MBER <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 />*******************************************************k********* <br /> <br />OTHER! <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />