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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />PHONE CONTACT FOR <br /> <br />.5'-/1- oU <br />DATE RECE IVED L <br />PERMITTING ~ <br /> <br />OWNER'S NAME ~~ _t k:rL f L 0'V1 3 <br />JOB ADDRESS,- L J ) I OJ..kJ n Let <br />/ ~ 9- BLOCK <br /> <br />PHONE <br /> <br />~ 3CJ 7 )$:)50 <br /> <br />LEGAL DESCRIPTION: LO'1'(S) <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br />WORK PROPSED: (JNEW CONSTRUCTION <br />DSIGN <br /> <br />o ADDITION <br />o MOVE <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br />DALTERATION 0 REPAIR kINSTALL <br />o DEMOLISH <br /> <br />PROPOSED USE: 0 SGL FAMILY DWELL ING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />}?MOB I LE <br />o OTHER <br /> <br />HOME <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~ :l- LLf> Y))CS\oll~ Mu'YLL <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <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: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PRO,JECT IN FLOOD ZONE AREAD YES (] NO <br /> <br />L_____o________ <br /> <br />CON'1'RA~mR;~~;,smC'1':t()N <br />". --- .- ....,.,.", :', . "'--"'.-. !"\i-:';..t.r".-:,,_:- .' ..~.-.-;..,.-.~ ,; ...... '''-,',.J'..: ._;.:,:,. ,~. ,:c.. :/.' , <br /> <br />COMPANY -li-':;~--------- <br /> <br />.1 <br /> <br />BUILDER <br />SIGNATURE W c:.,.--rl~ <br /> <br />STATE CERT OR REGIST # <br /> <br />********************************************************~********* <br /> <br />ELECTRICIAN. ~ <br />SIGNATURE W~~ - <br /> <br />COMPANY <br /> <br />f:1~~ <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />.1-J~_O~ <br /> <br />COMPANY AJ~ <br />STATE CERT OR REGIST # <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />/1 c.~ <br /> <br />SIGNATURE <br /> <br />1...J. ~_ n .c..A~ <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />