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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 BTH St, Zephyrhills, FL 33542 <br />813-780-0020 F~~:813-7BO-0021 <br /> <br />DATE RECEIVED <br /> <br />)~,/of <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME r-e;J ituL.-t <br />JOB ADDRESS 3 S:3 OJ IJ 01'- 't L .2~e L 0/72 <br /> <br />PHONE )S 1-:;) q 73 S .;; S-() <br />6~ ry1.H.L~j b6 / ~r <br />f ' , <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[JSIGN <br />PROPOSED USE 0(l SGL FAMILY DWELL ING <br />[J COMMERCIAL <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />[JADDITION <br /> <br />[JALTERATION <br /> <br />D REPAIR <br /> <br />');rINSTALL <br /> <br />[J MOVE <br /> <br />D DEMOLISH <br /> <br />[JMTJWI-FAMILY <br />D INDUSTRIAL <br /> <br />0# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOB ILE HOME <br />[J OTHER <br /> <br />CJ RESTAURANT <br />DESCRIPTION OF WORK ~* LA{' <br />BUILDING SIZE J ~ r 3(; <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />r< () <br /> <br />SQUARE FOOTAGE 411 <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PI"ANS & (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 />)d BUILDING <br />t5:ELECTRICAL <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />F3 PLUMBING <br />)Q MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br />L_,J_____ <br /> <br />C~CHElE~;,FIIQ'.D!ON <br />."~:~~P:y .D~W~ <br /> <br />J <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />Lv~O~ <br /> <br />STATE CERT OR REGIST # <br /> <br />ELECTRIICIAN <br /> <br />* * * * * * * * * * * * * * * * * *.....*...H"'" H"'" H'" H H '/1 H'" 'H' (.' 'l**l*r~ ** * <br /> <br /> <br />~/ COMPANY Ul~l-J. )( <br />(u ~ -~ STATE CERT OR REGIST # <br /> <br />SIGNATfJRE <br />I <br />I <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />r/{d-Wdcf <br /> <br />SIGNATURE <br /> <br />V ~~..LJ-?o/~ <br /> <br />STATE CERT OR REGIST J# <br /> <br />SIGNATURE <br /> <br />*********************************************7)(****************** <br />COMPANY !.L~ <br /> <br />[.,.A/ (:; ~~p STATE CERT OR REGIST # <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />