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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 />PHONE CONTACT FOR PERMITTING ~/3 ~ .J.sr-.....6'3C(-?' <br /> <br />OWNER'S NAME ~ fv rJ D l-1 Lie /( <br />JOB ADD6.Jrl )//'1 .5 'trnp? elL It ILL cI ~ <br /> <br />&/J- ?~J -6<1? L <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />21 <br /> <br />BLOCK ~CJlr)O <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br />WORK PROPSED: (JNEW CONSTRUCTION <br />(J SIGN <br />PROPOSED USE: (JSGL FAMILY DWELLING <br />(JCOMMERCIAL <br /> <br />~/t:Jo . <br /> <br />(ORTAIN FROM PROPERTY TAX NOTICE) <br /> <br />(J ADDITION <br />(J MOVE <br /> <br />(JALTERATION <br />(J DEMOLISH <br /> <br />(J REPAIR <br /> <br />o INSTALL <br /> <br />(JMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />(J# OF UNITS <br />(J SWIMMING POOL <br /> <br />(J MOB I LE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />wiele nJ S c ;f~t'/VRt't)/Z1 J:,f/)/'1 8":"'26' I-i) ;:r.( 3? / <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE 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 />-- <br /> <br />rJ c L y'LB \J 1 t'li'iLJ _ <br />cyZ ~..; () 0 <br />()., J:.;W) (., <br /> <br />Lj)otJ Ct.) <br /> <br />PERMITS REQUESTED <br /> <br />(J BUILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />(J MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />(J ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />D 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 D NO <br /> <br />SIGNATURE <br /> <br />CONTRA,GTO;R.......SECTIQN <br />T/(ocjI H1:/A/j' COMPANY 5eQfri&$5 9i"fi ~ 5~l"(, I~ll"!/- f/VC'. <br />;l~ ~. STATE CERT OR REGIST # SCc..Os6??r:; <br /> <br />BUILDER <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 />