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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-Q021 <br /> <br />PHONE CONTACT FOR <br /> <br />DATE RECEIVED S -{ l-oC[ <br />PERMITTING(~ <br /> <br />OWNER'S N~rn-rc1 tJOVGlLO)\:5 <br />JOB ADDRESS OI'?=>3/ Gill~ <br />LEGAL DESCRIPTION: LOT(S)~ BLOCK <br />PARCEL ID # <br /> <br />PHONE )1'?Jq7~.5d50 <br /> <br />SUBDIVISION <br /> <br />(OBTl\IN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />OSIGN <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />')5 INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~OBUE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~ QA1_~ Q JiYJu'oll-e_ <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 />COMMERCIAlJ: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS. <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 PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />L__________ <br /> <br />c~::~~;+~~~-_-_-J <br /> <br /> <br />STATE CERT OR REGIST # <br /> <br />BUILDER <br />SIGNATURE W O-:7------r:7~,tfIJ <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />tJ'~ ,.:-...{~;1 <br /> <br />COMPANY /J ~ c.- <br /> <br />STATE CERT OR REGIST # <br /> <br />********************************************************,~********* <br /> <br />SIGNATURE <br /> <br />W~e6~ <br /> <br />COMPANY fr~ <br />STATE CERT OR REGIST # <br /> <br />PLUMBER <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />.J1?;:::.. ""'-' <br /> <br />SIGNATURE <br /> <br />w~<Li~~Q <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />