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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8T11 St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />PHONE CONTACT FOR <br /> <br />s- // -i) rJ <br />DATE RECEIVED /~ /_ <br />PERMITTING '1 ~g. . q 4-d1o <br /> <br />OWNER'S NAME l)t>~~ l nh/vtsnK\ PHONE r-r~. 71 C(7 <br />JOB ADDRESS-.-:zQ.~~ ~.Z~ ,(;Q 3354-~ <br />LEGAL DESCRIPTION, LOT (S) BLOCK SUBDIVISION ' <br />PARCEL ID # 35-:)5.~I-C050.DCX:C()--DI?D(oBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />DSIGN <br />PROPOSED USE: CiSGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />[J ADDITION <br />o MOVE <br /> <br />[JALTERATION <br /> <br />[J REPAIR <br /> <br />u;;rINSTALL <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />[J SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK c..~ Q t1 (C- Q.hO-..rl qL ou:f <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />o BUILDING <br />[J ELECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTR <br /> <br /> <br />.....---.". <br /> <br />PERMITS REQUESTED <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />cY;;ECHANI CAL <br /> <br />$ LtdOO.CO <br /> <br />[J GAS <br /> <br />o ROOFING <br /> <br />[J SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />o FRAME <br /> <br />[J STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />CO~q'1'O;RiS:&:CTION <br /> <br />BUILDER <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 />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************~**~~*~* . I ' <br /> <br />"'CHANI~. CCMPAN . 0(' d-<-ch:.cnLnB- <br />SIGNATU .i,~UhQ.QQ STATE CERT OR REGIST #RmroL9.9~1 <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />