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<br />;.. <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8D St, Zephyrhills, FL 33542 ~ ~ <br />813-780-0020 FAX: 813-780-0021 ~ /~J't~ <br />DATE RECEIVED, / tq,-- <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER' 5 NAME \10"'-11 1Y1, IrefJ'f-<~ / )3f'1/Qh t !IollJe <br />JOB ADDRESS 3775"'0 AI/59;" /JR. <br />LEGAL DESCRIPTION: LOT (5) F BLOCK 11 <br />PARCEL ID # /r--;)"6 - J../- 0/7 D - Oft/DD - txFo <br /> <br />Ail1, <br />PHONE 7 ~ 7 - '1 321- 7.) c3 L/ <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION D ADDITION DALTERATION DREPAIR ~ INSTALL <br /> DSIGN D MOVE D DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING DMULTI-FAMILY D# OF UNITS D MOBILE HOME <br /> D COMMERCIAL D INDUSTRIAL D SWIMMING POOL D OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />CJc1jV <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 />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 /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />Ii,ii! ELECTRICAL <br /> <br />60 <br /> <br />AMP SERVICE <br /> <br />~ FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />D PLUMBING <br />D 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: D 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 />qO~gTO;R.iSECTION <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />EUCTRIC~ j <br />SIGNATURE t 1&/ ij~ <br /> <br />COMPANY <br /> <br />AjIJ <br /> <br />f./ecfr;c I/1 C . <br />82;."9 '3 <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBE~ <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 <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />