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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FI. 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />Wi J JfOjZg) <br />/(7)/ .J; <br /> <br />LEGAL DESCRIPTION: LOT (8) 9':)l- /0 BLOCK / J ~ <br />r <br />PARCEL ID # I J I :;.. ~ 1;)-1 / (!) () J 0 I J / r: ~ t) J 0 0 ~ 1J <br />' "/ . / <br />WORK PROPSED: DNEW CONSTRUCTION D ADDITION OALTERATION <br /> <br />OSIGN 0 MOVE A DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMII,y DWELLING OMULTI-FAMII,Y 0# OF <br /> <br />OWNER'S NAME <br /> <br />~ <br />..-J~'V ;},/ <br />\1-f '1 ~ <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />JOB ADDRESS <br /> <br />PHONE? J.-7~ "3 7.J--r:s r9 _ <br /> <br />SUBDIVISION <br /> <br />e/ /y <br /> <br />I <br /> <br />(OBTAIN FRQM PROPERTY TAX NOTI~F.) <br /> <br />[) REPAIR <br /> <br />o INSTALL <br /> <br />o COMMERCIAL <br /> <br />UNITS <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />BUILDING SIZE <br /> <br />tx <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />'0 plY) fr,LP-J; 'Wt/ C f- G )9- rZ /f- ~ r5 <br />/ D SQUARE FOOTAGE f 0 <br /> <br />HEIGHT <br /> <br />7/ <br /> <br />DESCRIPTION OF WORK <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 FOBMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o BUILDING <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />CI W.R.E.C. <br /> <br />o PLUMBING <br />tJ MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALU~TION <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 PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />[ <br /> <br />SIGNATURE <br /> <br />tll ' <br /> <br />,:t-hl4^ <br /> <br />CONTRACTOR SECTION <br />COMPANY nw-v\.C!/V <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 />