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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 ~-J9-~jI <br />DATE RECE IVED , / <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME ST. <br />JOB ADDRESS 5~1 " <br /> <br />-:kc;~~~ 6TUDU~ <br />U~ ~~~ <br /> <br />GVILlJ./ PHONE <br />'"Z.f ~ flU i \..\ S I fL <br /> <br />f'3~ 71 z-z..e IJ <br />J J~ ~ Z. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[J SIGN <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />[J ADDITION <br />[] MOVE <br /> <br />[]ALTERATION <br />~ DEMOLISH <br /> <br />[] REPAIR <br /> <br />[] INSTALL <br /> <br />[JMULT I - FAMILY <br />[] INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[] MOBILE HOME <br />;l(J OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK fF. ~O\l~ L~.LII\J~ Yr~ W~c...l lJ. ~p~ hQ.. ,;'T\JrtZ. m~ImNc, ~S. <br /> <br />BUILDING SIZE 10~~1,!l.l" 'Z- SQUARE FOOTAGE 43'. HE.....IGHT ~(n~, <br />31..1 t1 - ~r~ Sot ~-O~. \0, ""'.!li ~. <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) 1)ET E~ERY'FQBMS. <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 />AMP SERVICE <br /> <br />[] <br /> <br />\ <br />Y. <br />(J " <br />'<J / <br />'1~ (9 ./ <br />.'. f\ >() / <br />/ :. V I / #,.___'\ <br />TOTAL CONSTR~CTION C---~~://~~ , <br />FLORIDA POWER~_"'.-R:~ ~b' <br /> <br />PERMITS REQUESTED <br /> <br />[J BUILDING <br />[] ELECTRICAL <br /> <br />$ <br /> <br />VALUATION OF <br /> <br />[] PLUMBING <br />b MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J GAS <br /> <br />[] ROOFING <br /> <br />[J SPECIALTY <br /> <br />[] OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />[] FRAME <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES [] NO <br /> <br />co <br /> <br />CToRSECTION <br />COMPANY ~ ofl.lU::(,MJ) <br /> <br />(1, ~ 'J'lt..~ c.:n . IV I ~ ~ ~ <br />. <br /> <br />BUILDER <br /> <br />v..L J~~ <br /> <br /> <br />STATE CERT OR REGIST # <br /> <br />(" {,L 0 z.. c. ~~O <br /> <br />SIGNATURE <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 />