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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 eTH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />PHONE CONTACT FOR <br /> <br />DATE RECE IVED .s -10- 0 ~ <br />eEU. <br />PERMITTING 8/3 - 7/4 - (p(P4'z< <br /> <br />OWNER'S NAME DAN I [L. A. f3'CrJo 1;- <br />JOB ADDRESS '3 8 ~2. ~ I 2-'.it fl V E <br /> <br />PHONE ~ 7~8- Q'lO<6 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: ONEW CONSTRUCTION <br />Os I GN <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />)Z1 MOVE WALL. 0 DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />~MMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK MWE WALL ~ -I- L&15cT OuT L-75,S <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />~LDING <br />t:{ELECTRICAL <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. ~~~h- s;)fJ..1n-t1-qJe:.... <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.~ ~ ~_ ., <br />1"0"<' '~.sf~\L ~ . <br /> <br />12-f1> ltt t)~ Px:sI~ plYtfh:- <br />e.)' uJrTl.L ~~ Jl-{Ol ~ ~Ilh- <br />VALUATION OF TOTAL CONSTRUCTION ~(HV'2J1\iL. <br /> <br />o FLORIDA POWER 0 W . R . E . C. 10 DullelS <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />AMP SERVICE <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 AREAD YES 0 NO <br /> <br />CQNTRAQ'3J9;RSE.C'l':l:QN <br /> <br />BUILDER COMPANY <br />SIGNATURE Q.vN '6<<- ~ DC? ~&/I~TATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />""'I\J~" ~- f){!( ,fA. ~ <br />SIGNATURE ~ ~ ~ <br /> <br />COMPANY <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 />****************************************************************** <br /> <br />MECHANICAL <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 />