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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8ft St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />'/Id.-/ pe/ <br /> <br />, , <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME J]Q (j j 0 <br />JOB ADDRESS IP/J 3 ~ <br /> <br />~ <br />(!!, 5chnejdee PHONE 9~9-<J'?q-';{5~O <br />P eo A I :> r Z eLJ}z 1.i2.. /1-1 i I 5 . -:1-f. 3., ?cfZ <br />, Z,tJC/(l., t!J,4K:5/0t A1ol5/L. e <br />BLOCK SUBDIVISION AA/lJe- fJ /:M!!...j(. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE: ClsGL FAMILY DWELLING <br />[] COMMERCIAL <br /> <br />[] ADDITION <br /> <br />{OBTAIN FROM PROPERTY TAX NOTIC~1 <br />jJ(ALTERATION 0 REPAIR [] INSTALL <br />o DEMOLISH <br /> <br />o MOVE <br /> <br />[]MULTI-FAMILY <br />o INDUSTRIAL <br /> <br />[]# OF UNITS <br />o SWIMMING POOL <br /> <br />,g MOBILE HOME <br />[] OTHER <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK ~. 'f/J 4/)-5 I b /IJ <br />81/11 '-, U I <br />BUILDING SIZE _ ~ .h. .. <br /> <br />o.f S tI n tl(j')/}'( +0 <br />SQUARE FOOTAGE ~~ <br /> <br />ad j a C!.. en-t) <br /> <br />tV1 d utI!- <br />j h p:l/ flJll'( <br />7't/ <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 />ti. BUILDING <br />~ ELECTRICAL <br /> <br />$ <br /> <br />~3a?,C)O <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />[] FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />[] PLUMBING <br />[] MECHANICAL <br /> <br />$ <br /> <br />[]GAS <br /> <br />[] ROOFING <br /> <br />[] SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />[] OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />I(.FRAME <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />owner <br />BUILDBR <br /> <br />{lOh-,! c. .s;L~~ <br /> <br />~9~qT()R'iSECTION <br />COMPANY OWItl"L <br /> <br />SIGNATURE <br /> <br />~\ <br />NO; \E".1TRICIAN .a r;;~ <br />~eeoe.o ,J . - <br />.~GNATURE, .~ C"". 'J)'YA~ <br /> <br />STATE CERT OR REGIST # <br /> <br />***********~****************************************************** <br /> <br />COMPANY 0 fA) n e""- <br /> <br />STATE CERT OR REGIST # <br /> <br />********************************************************x********* <br /> <br />PLUMBER <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 />OTHER <br /> <br />~~:*~~**~::::;;;:******:~:~************************ <br /> <br />SIGNATtJRE <br /> <br />STATE CERT OR REGIST # <br />