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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 <br /> <br />N01Z. ) (),o /'1 ~ 0 I GA ( C II,{) ( G <br />3g 13~ /VVJrLkCT 5Gc)/J~ <br /> <br />PHONE <br /> <br />,%(37 go 'S ~c;LJ <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID # 0 2 '2 C 2, I 0 (5 / C> 0 3 l' 0 (j 0 d J d <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE\ <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br />~IGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />~MMERCIAL <br /> <br />o ADDITION <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK Q2,~ (U'A. 6> t s ~ t; A (S-h ~ ~ fo k S'l c~ <br /> <br />BUILDING SIZE SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />L/3 <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (Z) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (I) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />2 I <br /> <br />nBUILDING <br />~ELECTRICAL <br /> <br />PERMITS REQUESTED <br />L 3 S 0 ~ VALUATION OF TOTAL CONSTRUCTION <br /> <br />$ <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />\,k \u(;) <br />fv\ l ~ J' . , '1;'7 <br />'v'Pi7V <br />~q\ ~ <br />\.'7 <br />~ <br /> <br />o PLUMBING <br />o MECHANICAL $ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />SIGNATURE <br /> <br />.---'--' <br />__..,7 ~ <br />?>.-..~::_A // <br />-- <L-.. .. <br /> <br />coN'rAAQ~:R.;~mCTIQN <br />COMPANY U EsT CEr..Jtle.p <- Sf 6-..J5 <br /> <br />STATE CERT OR REGIST # E5 00000 r,~ <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br /> <br />***************************~************************************ <br />/- <br />///~ . COMPANY W ~ s: ( C6. ..J YY<.,() I S (CJ1 <br /> <br />~ -.....--.?__.// <br />c:::----;.;.;E?: L---. <br /> <br />STATE CERT OR REGIST # Es 0 0<'005 j <br /> <br />SIGNATURE <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 />