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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />B13-780-0020 FAX:813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />PHONE CONTACT FOR PERMITTIN~~\~)l~'&- C)Oq \ <br /> <br />OWNER'S NAME t=:'(~k { tv\"..n.1. Lou rY\Cvcif\4rO <br />JOB ADDRESS It I ~:t. Lro.l-\-<.<- 6h ~+-L p h~ r h' \ \"'" Fl <br /> <br />PHONE (95d-.) 5~1- 331 y. <br />~ 3sY -.;L.- <br /> <br />LEGAl, DESCRIPTION: LOT(3) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # \4.. d.~' ;;;u~ O'dIO.COOOD. Oy.oo <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />DADDITION <br /> <br />SALTERATION <br />D DEMOLISH <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />D SIGN <br />PROPOSED USE: ~GL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />D MOVE <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />D OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK Se.rVI(L UPlJl"t...dt:- -h, IS{) ~I + uddihof"oa.l .eJ-e..(..;tTi~ ~ '(~pa~r Ux:LlL, <br />V\C\CL-h~,,~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 />PERMITS REQUESTED <br /> <br />D BUILDING <br />Q5I ELECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />Iso <br /> <br />AMP SERVICE <br /> <br />gt FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />D PLUMBING. <br />D MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D E'RAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR EI,EVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br />r-------. <br /> <br />~~!J1Q~~'~.~.Q~~.'~;~~ <br /> <br />I <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />********************************************************,,********* <br /> <br />ELECTRICIAN <br />SIGNATURE \~-~ ~ R...-. <br /> <br />COMPANY K-ee"~G f..kLm (0 \ If"\(. <br />STATE CERT OR REGIST # Ec \~OO\-~56 <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 REGIS'f # <br />