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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE lVED ~b .?~ c:i'OJt/ <br />PHONE CONTACT FOR PERMITTINc(~) 7q q - '"3cP8 S" <br /> <br />OWNER'S NAME S Pu,J\<.r~ .~\.J<:_j,,-o U~ },j <br /> <br />PHONE 8i3 <I '8;;.. ~-7.?~ <br /> <br />JOB ADDRESS 8c1802:;, <br /> <br />s\\-t <br /> <br />(.J u -e.. <br /> <br />LEGAL DESCRIPTION: LOT(S) ~IO <br /> <br />BLOCK (--DCt,QO <br /> <br />SUBDIVISION t:..eP"'d~ \4~lc~M"S <br /> <br />PARCEL In # .5 I~ <br /> <br />"\ <br /> <br />~lD <br /> <br />e .91 <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[J SIGN <br />PROPOSED USE: ~GL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />[J ADDITION <br />[J MOVE <br /> <br />[JALTERATION <br /> <br />(ORTATN FROM PROPERTY TAX NOTICE\ <br /> <br />[J REPAIR Ii2fINSTALL <br />t1 e.~~PG~ el4-t-s-hkCl& <br />'OPc.AO~ <.1o.:.e <br /> <br />[J# OF UNITS [J MOBILE HOME <br /> <br />[J DEMOLISH <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J SWIMMING POOL <br /> <br />[] OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK ~Ipc€-_ ~I~l~ Ov't~-Qf)cY <br /> <br />~~J~ jcc~ <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 />~UILDING <br /> <br />$ <br /> <br />s;J- <br />~/3 <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />[J W.R.E.C. <br /> <br />[J PLUMBING <br />[] MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[]GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />[] FRAME <br /> <br />[J STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE MEA[] YES [J NO <br /> <br />BUILDER <br />SIGNATURE ~..) L-A:fU.,,;.... <br /> <br />co~gTO:R.i.SECTION <br />COMPANYt'Ol-re... ctP~aQ -~()lS l,Jc <br />STATE CERT OR REGIST # Lc..c- O(Q is':) <br /> <br />~ <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 />MECHANICAL <br /> <br />****************************************************************** <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 />