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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 IWD <br /> <br />'7/2/0)/ <br /> <br />,) I <br />It Ct Y--(1 5 <br />OWNER'S NAME CONe, (ZE.. C~5' <br />JOB ADDRESS 73 0 ~ GA-U.- ~v D.. <br /> <br />T< <br /> <br />l)S <br />-- <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />lN~.. <br /> <br />PHONE ~+I- +gg- 02. 70 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION~'lt0N S6(.. <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: (JNEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />DADDITION <br /> <br />DALTERATION <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />~IGN <br /> <br />(] MOVE <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />J3tOMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />D SWIMMING POOL <br /> <br />(] MOBILE HOME <br />D OTHER <br /> <br />c:J REpTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK J ~S71rLL WAU- <516tJ <br />I <br />BUILDING SIZE - rCf f(Zo I\Jr SQUARE FOOTAGE 2+.. 7 2. <br /> <br />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 FOro~s. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~ BUILDING <br />lit. ELECTRICAL <br /> <br />1~75.00 <br />~)(~AMP <br /> <br />PERMITS REQUESTED <br /> <br />~ 35' 07 <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />SERVICE <br /> <br />D FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />tJ MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />(] GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: (] BLOCK <br /> <br />D FRAME <br /> <br />o STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br />L <br /> <br />SIGNATURE <br /> <br />~ <br /> <br />CONTRACTOR SECTION <br />.... COMPANY.Afp~ t;lbl\J C AWN .N6 <br />./ <br />STATE CERT OR REGIST # C.r3 CAr I g I ~ <br /> <br />BUILDER <br /> <br />- <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 />