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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 />1-;<(~-or <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />-----"-- <br /> <br />OWNER'S NAME <br /> <br />S\J{~+( o-n.J <br />Vor-+h Av~ <br />, 2.. BLOCK I <br />07-. - 2- 0- 2.} - 0 16 0 '-~D j(j{}- <br /> <br />~~t6\e.- <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />,.., <br />_"::J <br /> <br />'2..\~ <br />-" - <br /> <br />PARCEL ID # <br /> <br />SUBDIVISION <br />('J J -z.... C <br />(OBTAIN FROM <br /> <br />1'V S t) h 5 u <br />I <br />PROPERTY TAX NOTICE) <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION o ADDITION OALTERATION o REPAIR o INSTALL <br /> OSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE :~GL FAMILY DWELLING OMULTI - FAMIL Y 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />~ ~E.. \0... c..rz.. 1(3-- l~eO,{ ~t <br /> <br />o <br /> <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <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 />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />& (1) SET ENERGY FORMS. )' <br />FORMS. <br /> <br /> <br />i R~~ :;.4& _/ <br />\ 'f ~ <br />\.. /~ <br />...........--""--.------ <br /> <br />PERMITS REQUESTED <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <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 l\REAO YES 0 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 />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />