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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 />DATE RECEIVED <br /> <br />OWNER'S NAME <br /> <br />.----: <br />) ~vVN- '/ <br />cY~ <br />~7/3 <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />"'7'22- /if ~ ( <br /> <br />JOB ADDRESS <br /> <br />>f <br /> <br />r1 !(e YC11' <br />/ <br />/2 it. ~ <br /> <br />PHONE <br /> <br />7) 2-. :>21 Cer" <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL ID # II -eX {p -;<, I <br />F <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />() {)( () ()?-20 () <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br /> DNEW CONSTRUCTION --.~" <br />WORK PROPSED: D ADDITION DALTERATION I31fEPAIR D INSTALL <br /> D SIGN DMOVE D DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING DMULT I - FAMIL Y D# OF UNITS D MOBILE HOME <br /> DCOMMERCIAL D INDUSTRIAL D SWIMMING POOL o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK u.t9c/'t<..cI~ ~c)(~ 7V ;;200 7t'VtA. P <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 />D BUILDING <br />D ELECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />? (!) 6> <br /> <br />AMP SERVICE <br /> <br />~LORIDA POWER <br /> <br />D W.R.E.C, <br /> <br />D PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />o STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br />CQNTRAGTO;R........ SECTION <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br /> <br />****************************************************************** <br /> <br /> <br />COMPANY :;::f0f ~?5 a/,,: c <br />STATE CERT OR REGIST # EC -oovzS;>C) <br /> <br />ELECTRICI <br /> <br />********************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECfmNICAL <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 />