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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8'l'R St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IWD <br /> <br />7/7/0(/ <br /> <br />, / <br /> <br />PHONE CONTACT FOR PERMITTING 1~1-'31S"-730{) <br /> <br />OWNER'S NAM~ar~.tr <br />JOB ADDRESS--5SLJL17-Hl Jf-. ""'G~CSI <br />LEGAL DESCRIPTION: LOT(S)~..;l.l . ~~ BLOCK ~ <br />PARCEL ID # ll- 2" -'2J - 00 ( 0 - 04800- 02..00 <br /> <br />PHONE 9.!3 .780 ../" II <br />EL. ~.5~~ <br />SUBDIVISION 0/1:1 oP -Z. JI fl!J I <br />(OBTAIN FROM PROPERTY TAX'N~TI~El <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br />[] SIGN <br />PROPOSED USE:~SGL FAMILY <br />[] COMMERCIAL <br /> <br />[] ADDITION <br /> <br />[]ALTERATION <br />[] DEMOLISH <br /> <br />[] REPAIR <br /> <br />9< INSTALL <br /> <br />[] MOVE <br /> <br />DWELLING <br /> <br />[]MULTI-FAMILY <br />[] INDUSTRIAL <br /> <br />[]# OF UNITS <br />[] SWIMMING POOL <br /> <br />[] MOBILE HOME <br />[] OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ~(a.c.trY\.W- t))JV\d1n.uS o-P ,y,me btL~ <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 />FORMf' <br /> <br />1/ 07.5" <br /> <br />r/... BUILDING <br />[] ELECTRICAL <br /> <br />PERMITS REQUESTED <br />$ tJ J , 0 (p, C() VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />[] FLORIDA POWER <br /> <br />[] <br /> <br />W.R.E.C. <br /> <br />[] PLUMBING <br />[] MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />[] OTHER <br /> <br />[] GAS [] ROOFING [] SPECIALTY <br />TYPE OF CONSTRUCTION:)4 BLOCK <br />FINISHED FLOOR ELEVATIONS <br /> <br />[] FRAME <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES <br /> <br />~NO <br /> <br />BUILDER <br /> <br /> <br />qO~QT()R.SECTION I <br />COMPANY~ ~n.O. <br />STATE CERT OR REGIST # .C,ge.- o58llb 1 <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 />