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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 />'i-c2J-dJ <br /> <br />PHONE CONTACT FOR PERMITTING (&13) qCIl.Lt~-li <br /> <br />OWNER'S NAME Tree. ~e. L+-t> ( SJoJnc ~ > ~. I\' ish GC'S<:::, ) <br />JOB ADDRESS 5, ~ q .bo. Y +t\., Sh Ge_t- f.p p h~l hi \l~. <br /> <br />PHONE <br /> <br />R- 3~'--I;~ <br />SUBDIVISION ~-E-(\Ctne V;\\Clj~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # [0- ~b-~ -OC:ao-Oo\ao- 0000 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION o ADDITION OALTERATION CI REPAIR o INSTALL <br /> Os I GN o MOVE 0 DEMOLISH <br />PROPOSED USE: W SGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK New I DO ~p urde.r3rt)U('(:i ~\Jl(L ~ pctiLi...hrd-t-\ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <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 />o BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br />~ ELECTRICAL 1~5o AMP SERVICE r,iJ FLORIDA POWER [] <br />o PLUMBING <br />b MECHANICAL $ VALUATION OF MECHANCIAL INSTALL~TION <br />o GAS o ROOFING o SPECIALTY 0 OTHER <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 0 NO <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST if <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN COMPANY R"2'-.(2.. Etecrn'u.....l, I~L_ <br /> <br />SIGNATURE \C~Lu..-.~ ~ L STATE CERT OR REGIST # Eel ~ooI6~ 2. <br />(\ I 'J- , J..l I L\ y q <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 />