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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 en St, Zephyrhills, FL 33542 _. . <br />813-780-0020 FAX: 813-780-0021 ~I JP 0;1 <br />DATE RECE rVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />)1. - JV\ ~ '(iT <br />OWNER'S NAME en tU c. \ ~ ~ t N C (1( (j ~ t... R ~ W l'l \. ~ l P <br /> <br />JOB ADDRESS 1'-1:J.. 2. GR;LL BLVD J 2 e~Hl(Y<.HI(.LS I FL <br /> <br />PHONE go I 3 - 73 g - 'i I ~ J <br />( k - h41ff2..[ ) <br />- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />35"" - ~ S-:2 \ - 0Cl\ O-(Yl~O --DC I 0 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE\ <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br />Os IGN <br /> <br />o ADDITION <br />o MOVE <br /> <br />o AL TE RAT ION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED USE: []SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULT I - FAMILY <br />o INDUSTRIAL <br /> <br />[] # OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE ,HOME <br /> <br />o OTHER <br />3'-rk <br />~I~~ ~ <br />T~\r-<1 JU I Y'7 <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK J'EMf'O<<' A f!. Y <br />BUILDING SIZE l../ 0 X ~ C> <br /> <br />TeN, F"oR F< ~t:~a~ \CS' <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (I) 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 />o BUILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: (] BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />CONTRACTOR.. SECTION <br />.' . , , '. <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />--- ELECTRICIAN~~ <br />SIGNATURE 7' ~,- ?zf~ <br /> <br />COMPANyPmfE ElbCTRtC+ (?r;F6<lIiJ;.fr-:t:..:A--iltl <br />STATE CERT OR REGIST # Et: ?J~t?/ ~V' <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/p-~O'" PII~ ~ Y <br />SIGNATURE .(/r ~ _ <br />. "/'" <br /> <br />COMPANY'<) LtN:HhrvEIG 0T R 6- 1...Fr it L) jlU <br /> <br />STATE CERT OR REGIST # <br />