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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-Q021 <br /> <br />DATE RECEIVED <br /> <br />'<-//-0'/ <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME Or~;Jqe- IJlos) 0 /VI ,f1A/cJ ("'C,u/O "f;y.OC <br />/ <br /> <br />JOB ADDRESS 3 7 8' /) f - :5 7 g /() - :3 7 r;;f- "> Ji j <j .4/1ss /:1 ~'. <br /> <br />PHONE <br /> <br />'7.f ,f- 00 () '/ <br />/,( .J 3>9':< plc/ #// <br /> <br />::z. ~..F' A. <br />I <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # IS-- ~&, ~/- O/JC- 01100- UO 00 <br /> <br />(ORTAIN FROM PROPERTY TAX NOTIC-El <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[J ADDITION <br /> <br />[JALTERATION <br /> <br />Pi( REPAIR <br /> <br />[J INSTALL <br /> <br />[JSIGN [J MOVE [J DEMOLISH <br />PROPOSED USE: [JSGL FAMILY DWELLING ~MULTI-FAMILY ~# OF UNITS <br />[J COMMERCIAL [J INDUSTRIAL [J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[J OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />r/C i-,ff' ,,4c'c- b~'J'lJr~ J ;foe / <br /> <br />, / <br /> <br />SQUARE FOOTAGE cy~ >- <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 />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />HEIGHT <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. _ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />/<::::::~-_._--~ <br /> <br /> <br />&;Jb <br /> <br />[J BUILDING <br />[J ELECTRICAL <br /> <br />oC <br />$ ?( 00,- <br /> <br />PERMITS REQUESTED <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />[J W.R.E.C. <br /> <br />D PLUMBING <br />D MECHANICAL $ <br />D GAS ~ROOFING D SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES [J NO <br /> <br />CON'rRACTOR...SECTION <br />~ ',;.. " ;' . . -' . - '. "'. .-'. -; ,-..;.' ," ..;.. -'- :,' . - . , , <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECT~ICIAN <br />SIGNA~URE <br /> <br />COMPANY <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 />MECHAN!ICAL <br />SIGNATpRE <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br /> <br />OTHER! /fr/C.f,.<v) JelJJ c' /biV< (/ COMPANY .5-{We/l; j()()/./V) CO, <br />I ./ ......./ . .... <br />SIGNA11JRE ~~ ~TATE CERT OR REGIST #~'''-ct?S79.s';l <br />...J-- .- .:---'. <br />L-------- ..---- -- <br />