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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 />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME --.iUY~~df ('~2>>m)"/'wru <br />JOB ADDRESS 41~1 ~ /81 <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL In # /.3. ~ '- .~/. 0130" 00100 . 1/30 <br /> <br />SUBDIVISION <br /> <br />(ORTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br />DSIGN <br /> <br />D ADDITION <br /> <br />9ro..TERATION <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />PROPOSED USE: []SGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />D MOVE [] DEMOLISH <br />~I-FAMILY D# OF UNITS <br /> <br />o INDUSTRIAL <br /> <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />A..t..r~P I g7~ IS ~~) ~ HIt ,(,f.J;t:,'H (lot>F/~~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE t 1""7;)0 <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 />[] BUILDING <br /> <br />$ <br /> <br />//.)'; 'lit tIJ1 <br /> <br />. <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />D PLUMl3ING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />IM1illOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />o STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />SIGNATURE <br /> <br />OJ-6V <br /> <br />q()liJTRAgt1!9;Ri$EeTIO~ <br />COMPANY tfl2i <br />STATE CERT OR REGIST # C c.c /3 :JSWJ> <br /> <br />BUILDSR <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />* * ** * ***"**** * * * ** * ** ** **** * * * * *** ***** * * * * ** * **** **** *** **** ** * * * * <br /> <br />I <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />Ml!:cHANtro.r." " <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />SIGNATtJRE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />