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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 RECE IVED <br /> <br />t; ... !/-IJ( <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME AL8ERTO <br /> <br />C;:}Re /11 <br /> <br />PHONE <br /> <br />8/3 - 7/5- /9y6' <br /> <br />33S-YZ <br /> <br />JOB ADDRESS <br /> <br />5/25 /8 7'/-1 ST~GEr <br /> <br />Ze~HY~HILL5 FL <br />j <br /> <br />202 SUBDIVISION <br /> <br />LEGAL DESCRIPTION: LOT (S) ~ t, .ond 7 BLOCK <br />. <br /> <br />PARCEL ID # II 2(; 2/ (JtJ/o 202m OtJ5"O <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: (JNEW CONSTRUCTION <br /> <br />(J ADDITION <br /> <br />(JALTERATION <br /> <br />o REPAIR <br /> <br />(J INSTALL <br /> <br />Os I GN <br />PROPOSED USE: ~'GL FAMILY DWELLING <br />(JCOMMERCIAL <br /> <br />o MOVE <br /> <br />(J DEMOLISH <br /> <br />(JMULT I - FAMILY <br />(J INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />(J MOBILE HOME <br />o OTHER <br /> <br />~RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK J/r~;5'rflLL C/lI111V LI/!/k FE/1/CE <br /> <br />23.1f rl. <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 />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />--~ <br /> <br />\ <br />, <br />\ <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~3~ <br /> <br />/' <br />,/ <br /> <br />PERMITS REQUESTED <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 />(J GAS <br /> <br />o ROOFING <br /> <br />(J SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />ff OTHER <br /> <br />TYPE OF CONSTRUCTION: (J BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />G-'DTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA(J YES 0 NO <br /> <br />L <br /> <br />SIGNATURE <br /> <br />~~~~. <br /> <br />CON'1'1W;:TOJ;l$ECTI~ ,a '~ <br />COMPANY\/ ( w-J!~ <br /> <br />BUILDER <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />MECHANICAL <br /> <br />****************************************************************** <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 />