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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />;/3,) 131. <br /> <br />OWNER'S NAME i~.JrJ L/< <br />JOB ADDRESS .3 5 :J. Lf /0 U 1//./ jf 1)/ C /);-- <br />LEGAL DESCRIPTION: LOT(S) r.2 7 I BLOCK <br />PARCEL ID # <br /> <br />PHONE <br /> <br />7/ '3 '). 752. <br /> <br />SUBDIVISION f(Y)(i/t4//J PI <br /> <br />(OBTATN FROM PROPF.RTY TAX NOTTCE) <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br />OSIGN <br />PROPOSED USE: []SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br />[] MOVE <br /> <br />OALTERATION <br />[] DEMOLISH <br /> <br />o REPAIR <br /> <br />[] INSTALL <br /> <br />OMULTI - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />[] SWIMMING POOL <br /> <br />[] MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />5/1-) /J <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />d7 PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~,O,0 <br />~. PERMITS REQUESTED <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />o BUILDING' <br />o ELECTRICAL <br /> <br />'..- oJ <br />$pL!SQ , <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />[] PLUMBING <br />o MECHANICAL <br /> <br />$ <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 />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES 0 NO <br /> <br />l <br /> <br />CONftA,CTO:Ri;SECTIOliJ <br /> <br />COMPANY <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />MECHANICAL <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTRER (iJl.ffL f <"- <br />SIGNATURE ~ ~~ <br />I <br /> <br />COMPANY <br /> <br />77/50^/ (oIVc/cIG <br />I <br />STATE CERT OR REGIST # <br />