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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8R St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />- Y'~1/cY <br />/ <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME YOI'7Cl-.{j L, .5h//ner' <br />JOB ADDRESS f"? 7 tJ6 t.a14sl/lfl- #1/ e- ' Z-e ~ I'//') I' /1 ~ <br />t7 ' <br />LEGAL DESCRIPTION: LOT (S) /~5" BLOCK <br />PARCEL ID # P 4- L- .'J.- ()<J 61- tJ ',/ <br /> <br />PHONE (g"13) 7%]'- '7736 <br />Ft. '5.3>s--yz- <br />SUBDIVISION 5leepy I!vtL{)(.P trtJj"le I3shles <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br />DSIGN <br />PROPOSED USE: []SGL FAMILY DWELLING <br />DCOMMERCIAL <br /> <br />~ ADDITION <br />o MOVE <br /> <br />DALTERATION <br />D DEMOLISH <br /> <br />D REPAIR <br /> <br />[] INSTALL <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />2' OTHER <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK j}d~'f/t-)n-to e..Xl5liy Cell''' ;Oor~ t"C.lo-(2 <br />BUILDING SIZE / 7 ~ " ~ / e >'7~-I-h SQUARE FOOTAGE HEIGHT 7 "6 "1 LoiA,J e"l j <br />II' <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 CONSTRUCTIO . <br /> <br />VALUATION OF <br /> <br /> <br />D BUILDING <br />D ELECT~ <br /> <br />$ <br /> <br />)'00 .60 <br /> <br />PERMITS REQUESTED <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />D\L~ <br />'7/ ~ <br /> <br /> <br />, <br /> <br />D PLUMBpI~fr <br />D MEC~ <br />D GAS ~FING <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 />t%( OTHER /1-1 vlO-\. p~ tV <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES XNO <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />BUILDER <br /> <br />CONT;RA.C:lJ!O;R.SECTION <br />COMPANY Of;. lhP{f' <br /> <br />SIGNATURE <br /> <br />9~ e. ~ <br /> <br />. <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 />****************************************************************** <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 />