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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 89 St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IVED <br />PHONE CONTACT FOR PERMITTING Wo-I.n W . '3LJ (,~ <br />lDo1; , ~ ?:P-1:&Lf1+ <br />OWNER'S NAME Q~U~T E.AQj~ ~~ PHONE ~ol' <br />JOB ADDRESS 1Jl-{O"J.?~ kYUt'U---Q., CJ ~A&?~va. <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL ID # ~ \ q ~ (ORTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPSED: DNEW CONSTRUCTION D ADDITION DALTERATION D REPAIR D INSTALL <br /> <br />D SIGN <br /> <br />D MOVE <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />D COMMERCIAL <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 />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESClUPTION OF WOBK ~ '" ~ ~t.. ~\)'<:J \ ?'OUsb ?LulYl r.1v""(jII~!U sUJJ <br /> <br />BUILDING SIZE '6x4::> SQUARE FOOTAGE .1"4 So~.-t-:k 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 />D ELECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />D PLUMBING <br />D MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 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 D NO <br /> <br /> <br />C()~CT():RSECTION <br />COMPANY tJ(.J;.,ur <br /> <br />STATE CERT OR REGIST # <br /> <br />********************* ******************************************** <br /> <br />ELECTRICIAN COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br /> <br />COMPANY Vt,J~ <br />STATE CERT OR REGIST # <br /> <br />PLUMBER <br /> <br />********************** <br /> <br />***************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />SIGNATURE <br /> <br />(il"~Uf1A.Qn~ANY <br /> <br />~ S~TE CERT OR REGIST # <br /> <br />OTHER <br /> <br />(Y.)'Y\ (Ll <br />