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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8ft St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 I. /;(r/&'/ <br />DATE RECEIVED ~/_ __ .__ <br /> <br />PHONE CONTACT FOR PERMITTING 8' IJ -3YF-6.:3 Y7' <br /> <br />OWNER'S NAME <br /> <br />If f/C>R /'1Q;U <br />req6e)(~ '-L Lp, <br />, , "6000 <br />() / fD BLOCK .~ <br /> <br />/ [) ~ 26 - ?. / - 6/ c.o-OOo~f) ~ 6/SLJ <br /> <br />J>otf' bo/(q <br />77'12-2.- <br /> <br />PHONE ? ) F - /0 Cj'? <br />Z -~/[L~ FL 7"J>~c <br />SUBDIVISION ~~~c1 ~Q~ <br />(OBTAIN FROM PROPE:TY TAX NOTICE) <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br />OSIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br />o MOVE <br /> <br />OALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />oMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />S ClfeenJ Rt'ort - EXI>/-NU, 51...ct b <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 />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />N OL t2~\.J(N~ <br /> <br />d i5Z-. <;<0> <br />3 ' *.:) r1-~-\I) ~ <br /> <br />o BUILDING <br />o ELECTRICAL <br /> <br />$ f S-~tJO ~ <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 AREAo YES 0 NO <br /> <br />G()~CTOJl '>SECTIQN <br />,', .. ; '. '. .'.' ,', ...c-', ..c.': ,'."", " =.':;", ",:" ,-i. _.. ..~':'.'.. _ .',' " _ ".." """, ".. <br /> <br />BUILDER <br />SIGNATURE z?~ -t::b4i-, <br /> <br />COMPANY .5("'Q/l.-t L t:: ~ /" C} ~-h'-C'/( spec;CL/.5:1- ..Eve, <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 REG 1ST # <br />