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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8D St, Zephyrhills, FL 33542..~/t; <br />813-780-0020 FAX: 813-780-0021 ;f, /1 <br />DATE RECE lVED ...~ 'f- <br /> <br />PHONE CONTACT FOR PERMITTING fJP~t/O P~rn l +-- <br />I -Ci:60-~1{-7~ <br /> <br />JOB ADDRESS <br /> <br />{. <br /> <br />LEGAL DESCRIPTION: LOT (S) 1"0 C; <br />PARCEL 10 # d.Zd-G>- ';)-1- 6036 - [)0006 <br /> <br />WORK J!>ROPSED: NEW CONSTRUCTION 0 ADDITION DALTERATION <br /> <br /> <br />OWNER'S NAME <br /> <br />(OBTAIN <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br />PROPOSED USE:~ 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 Cttr !f()(-f: <br />BUILDING SIZE /2 'i::J.. S- <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />5 L~^_b <br /> <br />D VI .e '>Ll i'S-)- <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 />~OING <br /> <br />$jI6(~ <br /> <br />PERMITS REQUESTED <br /> <br />1i'J- '3 I L/ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />$ <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 AREAD YES 0 NO <br /> <br />SIGNATURE <br /> <br />~.,I- / L4 <br /> <br />cON'rR1t.q~:RSECTION <br />COMPANY Hi //5 C OVlsty,VC--! f~ <br /> <br />BUILDER <br /> <br />STATE CERT OR REGIST # C <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 />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNAiTURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />