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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 89 St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IWD <br /> <br />~'l/o,/ <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME V-1l-/7"v } <br />JOB ADDRESS Lo 'j <br /> <br />1(0 I'- /"'l..0..J <br />205 3750./ <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br />"L.."f <br />J4-~S-;;;lI- O()!O-eJ ~RoO- ~O~ <br /> <br />Lit / ~ <br /> <br />SUBDIVISION <br /> <br />(3~~ <br /> <br />~ <br /> <br />live. <br /> <br />, <br /> <br />PARCEL ID # <br /> <br />(ORTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: []NEW CONSTRUCTION [] ADDITION []ALTERATION [] REPAIR [] INSTALL <br /> []SIGN [] MOVE [] DEMOLISH <br />PROPOSED USE: []SGL FAMILY DWELLING []MULTI-FAMILY []# OF UNITS ~ILE HOME <br /> [] COMMERCIAL [] INDUSTRIAL [] SWIMMING POOL [] OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />)H, If /0\'>>f <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 />PERMITS REQUESTED <br /> <br />[] BUILDING <br />[] ELECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />[] FLORIDA POWER <br /> <br />[] W.R.E.C. <br /> <br />[] PLUMBING <br />[] MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[]GAS <br /> <br />[] ROOFING <br /> <br />[] SPECIALTY <br /> <br />[] OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />[] FRAME <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES [] NO <br /> <br />BUILDER <br />SIGNATURE (,.Icy-- A~/~ <br /> <br /> <br />****************************************************************** <br /> <br />C9~qIJ!QR<$:&:CT:ION <br />" , .-.-r- . I. // <br />COMPANY 8v-//<..-/7 L if <br /> <br />STATE CERT OR REGIST # <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />vJ c-.r--LLo/JR <br /> <br />COMPANY J?1 ~ ~ <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />U-J~~ <br /> <br />COMPANY ~-7Z~h ~''(0/ <br />STATE CERT OR REGIST # <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />Hc~ <br /> <br />SIGNATURE <br /> <br />LJ ~-r-- ad.Jr! P-----_ <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />