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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 RECEIVED <br /> <br />7}.,tJ '. C)rj <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />Io.5 c- ;Oil Col e/VV7 C( .", <br />(;;]7' 19~ S'+-. <br />JC( <br />0;)... d -b d I 01'/0 <br /> <br />PHONE <br /> <br />78J.. .- yoa-f, <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK ():::.bo 0 <br /> <br />SUBDIVISION <br /> <br />-zepJ, y r <br />Ol9(J (jree?:--e'_ <br /> <br />PARCEL ID # <br /> <br />c:oono 07YOroBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION o ADDITION %LTERATION o REPAIR mNSTALL <br /> OSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: 0 SGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />BUILDING SIZE <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />OF WORK S h.,tv/c; (e <br />r1 01:/:7 SQUARE FOOTAGE <br /> <br />;(e.-- ;'bO {2. <br /> <br />DESCRIPTION <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 FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />Lf,Y75'. <br /> <br />/ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />o GAS <br /> <br />ft('~OOFING <br /> <br />o SPECIALTY <br /> <br />AMP SERVICE 0 Progress Energy 0 W.,R:E.C. <br />1 <br /> <br />./' ). ,lit ?-, W.~,! ~,.// <br />VALUATION OF MECHANCIAL INSTALLATION _~~J ,,_' <br />o OTHER '''. ~ <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <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 <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <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 />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER ./~~~ <br /> <br /> <br />SIGNAT::::k2 . <br /> <br />COMPANY <br /> <br />{' ./t./ r K OOr 1;1 G- JJrC, <br /> <br />STATE CERT OR REGIST # (' CC i J;2.S 7cr'd-. <br />