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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 />PARCEL ID # 35-;;5 -;X J -001 D - 0 7g00 -()OlO <br /> <br />fo-It.j.-O~ <br />DATE RECE IVED <br />PHONE CONTACT FOR PERMITTING 5~ J - L.f917 <br /> <br />PHONE [813) 1i3 -1dot <br />-up~;1151 FLF <br /> <br />SUBDIVISION <br /> <br />OWNER'S NAME <br /> <br />Wtt l d- Vp;n R 0 S 5. un <br />3 3100 C()j(YlcLvn ~ <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />(OBTAIN FROM PfWPF.RTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION o ADDITION DALTERATION D REPAIR o INSTALL <br /> DSIGN o MOVE D DEMOLISH <br />PROPOSED USE: ~L FAMILY DWELLING OMULTI-FAMILY [1# OF UNITS D MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL 0 D OTHER <br /> SWIMMING POOL <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT <br /> <br />CJ1an3 t <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />tnLt Ale SLf-s.~un <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PI,ANS & (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 ELECTRICAIJ <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />o 9'UMBING <br />~MECHANICAL <br /> <br />$ <br /> <br />4-900.0D <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />D SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROtJECT IN FLOOD ZONE AREAD YES D NO <br /> <br />L_~ <br /> <br />"'l"ir~..I'Iftill.....".,,,,. .#1':.....'. .B<:.~ci1'.:.' .~";... ..f(:.'.......... ,..11.'1 <br />_~ ..~;v-,~." '>~j~ -. I. .cAtW"" <br />;'-i;(~'t., ":':"-~~.~i"--;'~/~';"1".~_.:,x,.t.\ I" ":r.piii'J:. ;,~,~,~ - - _".ie' ,y ':~;;.,( -~~!"'~th'{'-," <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIJ\N <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 />SIGNATURE <br /> <br />.........................*.....*..~~~;:;~.~.;i).~(C.~~1(. <br /> <br />STATE CERT OR REGIST # CAe Sg 15 <br /> <br />ME CHAN I CAL <br /> <br /> <br />************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />------ <br />