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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 aD St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE lVED <br />PHONE CONTACT FOR PERMITTING (<6 I~) 1 g'6 .00<:1 \ <br /> <br />OWNER'S NAME C[\f \f\Y\-e, --+ ~Clf\uej \j o.5G),0~ ~ <br />JOB ADDRESS 5i-Y-D --t+b -Srre..u- Z,fh\l/~;\\'" <br /> <br />PHONE <br /> <br />FL- ~~<,L.I~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(ORTAIN FROM PROPERTY TAX NOTIr.El <br /> <br />WORK PROPSED: (JNEW CONSTRUCTION <br />(] SIGN <br />PROPOSED USE: (JSGL FAMILY DWELLING <br />(J COMMERCIAL <br /> <br />$T ADDITION (]ALTERATION (J REPAIR (] INSTALL <br />(J MOVE (] DEMOLISH <br />OMULTI-FAMILY 0# OF UNITS (] MOBILE HOME <br />(] INDUSTRIAL (] SWIMMING POOL (J OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK A.Ac\ pD.k\er ~ \\ft Shh~J oAd (4-) Y€UeirJC to_,> <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMjERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF ~IGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br />~ELECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />(] W.R.E.C. <br /> <br />o PLUMBING <br />(] MECHANICAL <br /> <br />$ <br /> <br />~sa. <-X) <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />(] OTHER <br /> <br />(] GAS <br /> <br />(] ROOFING <br /> <br />o SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: (J BLOCK <br /> <br />(] FRAME <br /> <br />(] STEEL <br /> <br />(J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />gQ~q~a;$ECTIQN <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />ELECTRICIAN <br />~~h~ <br />SIGNATURE -V -u <br /> <br />****************************************************************** <br /> <br /> <br />COMPANY ke....e~ E.ledYicQt I ~( <br />STATE CERT OR REGIST # i 4 ~ q <br /> <br />L <br /> <br />I <br />I <br />I <br /> <br />PLUMBEk <br /> <br />****************************************************************** <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 i <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />