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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 /> <br />:>(0/0/1 <br />I I <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME UAI,/J It JO/ Ie <br />JOB ADDRESS 38942 54 ,4~l'" <br /> <br />PHONE <br /> <br />/I'J ~ 73f - 7'jiPO <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARC!i::L 10 # / /2 (p - 2/ - 001 0 - /7S 00 -ooo'~ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE\ <br /> <br />WORK PROPSED: (]NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />~TERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br />PROPOSED USE:~L FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DEScRIPTION OF WORK <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />(7a1zIt~1 Sa/Iter (,)~- <71'2#F <br />. , <br /> <br />BUIL!DING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESI~ENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />CoMIn:RCIAL: 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 />e:rEi.:ECTRICAL <br /> <br />$ <br /> <br />I~()~ <br />15"0", <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE ~ORIDA POWER 0 <br /> <br />W.R.E. <br /> <br />....---- <br />/' <br />,,// <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br /> <br />//' / <br /> <br />// I /}191) <br />A ..- <br />,/ <br /> <br /> <br />o PLID1BING <br />o MECHlANICAL <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />CON'rlUl.QTQR >'SECTION <br /> <br />BUILD~R <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />I <br /> <br />PLUMB*R <br /> <br />****************************************************************** <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 I <br /> <br />COMPANY <br /> <br />I <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />