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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 <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />DATE RECEIVED ;;;/; I / C)~l <br />7/7 -/0'- 0/ <br /> <br />OWNER'S NAME <br /> <br />ITA cl; s ,,;- ':;', <br />'71;J- 7 7' 'r~ ?T <br /> <br />)7~ /Tl/ <br />, I' <br /> <br />PHONE <br /> <br />'7&2~94 J- <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />e;r;~ (J <br /> <br />BLOCK <br /> <br />1)f~~C/SUBDIVISION <br /> <br />- . 00/0 <br />?-w /It -5 <br /> <br />PARCEL ID # II;;Z Y :2 I 0 <:;);' u /'7 ,?o" voc/'O <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DrNEW CONSTRUCTION o ADDITION OALTERATION ~REPAIR o INSTALL <br /> OSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: 0 SGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />/7 t- fl'-?~.' V P 15> / ,.' fr ,'7- r" V""" c' <br />SQUARE FOOTAGE ? 36 <br /> <br />O . . ;").~ <br />)-- / v.:- '-<- ~7 "r,1f ~ I "i"t <br />I r~ <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 />o BUILDING <br /> <br />$ <br /> <br />e:; 0 c:::: ~?C.~ <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 PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />DGAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />r;(' OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES [} NO <br /> <br />C..ONTRAJ ....CTOR. 'is. . EeT. IO. t-l. <br />. ",'. ......' -,',' ',.. ...... -, ".,.... .. <br />','".,_,__u_._,,,_ .'. c'' <br />,.'-.,". - ,- .. , <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNA'Dt]RE <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 />MECHANlICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />SIGNATtJRE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />SIGNATWRE <br /> <br />,-:) IA/ ,/l- c;~ _ <br /> <br />7 ~ /~~ <br />/~t: ~r/" '? /(~ ~ <br />/ t/ <br />,.(./ <br />j/ <br /> <br />COMPANY <br /> <br />OTHER <br /> <br />STATE CERT OR REGIST # <br />