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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 3- ry/~t7~ <br />DATE RECEIVED ~_ <br /> <br />PHONE CONTACT FOR PERMITTING 6J3~ (,29-6.7Q <br /> <br />OWNER'S NAME A N /rZ~ d- ;:::;'C7 / C ~ ~ 7~A- <br />JOB ADDRESS 3S/CJ? tif /30 ftt/e. <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: [JNEW CONSTRUCTION <br />DSIGN <br />PROPOSED USE: ~AMILY DWELLING <br />COMMERCIAL <br /> <br />D ADDITION <br />o MOVE <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br />~ERATION 0 REPAIR 0 INSTALL <br /> <br />D DEMOLISH <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D # OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />D OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />1 A-- 4,- /l/ ~ /1 (<; ./1' /ri--.c/ <br />~ <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 ELECTRICAL <br /> <br />FLORIDA POWER <br /> <br />~) <br />~/~I./Jf&?// <br />'1f ~~., <br />~..~/ <br />~ <br />W. . <br /> <br />D BUILDING <br /> <br />$ <br /> <br />'l ~tJ <br /> <br />PERMITS REQUESTED <br />tHY <br />, .....--. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />D <br /> <br />D PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />[J SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: [J 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 MEAD YES D NO <br /> <br />go~q'J'!():R\'SECTIO~ <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />********************************************************'k********* <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 />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />SIGNATuRE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER CJt1/;)tfftJll >>1l1~J/4 f7J5", <br />SIGNATURE ~~ <br /> <br />COMPANv4fJOt/.2. d-/f~Vd;v/ )/9/-0/"/ ~/l/~~ <br />STATE CERT OR REGIST # ,L 55 - sJr// <br />, <br />