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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8D 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_4,JJ.J([p i VC~~ ~~ ~~+U ~ <br />JOB ADDRESS 37i/5! ;74,,-(0 2(1 L'~ (" <br />LEGAL DESCRIPTION: LOT (S) 35 BLOCK 2 ~ <br />PARCEL ID # .3 c) - ;< !F'2 / 0)(0 I f.!:JCb Oc.JcJO <br />, <br /> <br />PHONE <br /> <br />/0 <br /> <br />SUBDIVISION <br /> <br />.;</ <br /> <br />{ORTAIN FROM PROPERTY TAX NOTICE\ <br /> <br />WORK PROPSED: []NEW CONSTRUCTION o ADDITION DALTERATION o REPAIR D INSTALL <br /> DSIGN D MOVE D DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING DMULTI-FAMILY D# OF UNITS D MOBILE HOME <br /> o COMMERCIAL D INDUSTRIAL D SWIMMING POOL D OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEALTH DEPARTMENT_ APPRO~ " / <br />~-Jr4(/ /01:> kp 2(c 68tJtce y- (( UJ> {<'V <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <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 />D BUILDING <br />[] ELECTRICAL <br /> <br />$ <br /> <br />ft)~s(:Q <br />l (:)0 <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE ~RIDA POWER D <br /> <br />W.R.E.C. <br /> <br />D PLUMJ!3ING <br />D MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />o SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D 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 AREAD YES 0 NO <br /> <br />CONTRACTOR-SECTION <br />"';'," ',',' -,','.; t' "........, ',:_, . .:',_ . ','. . <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />ELECTRIC <br /> <br /> <br />****************************************************************** <br /> <br /> <br />COMPANY F( _er Cfcz~;5 Ber <br />--- <br />STATE CERT OR REGIST # kC -CKio':<'.::5';fJ <br /> <br />SIGNATURE <br /> <br />************************************************* <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />MECHANtCAL <br /> <br />****************************************************************** <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 />