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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8ft St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />7-d~-ol <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME ~(Llo{'9.. CpV\~rD <br />JOB ADDRESS 5,,,3~ d~ .s.t\.c..ct. <br /> <br />I~C)- ~41 <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # I ;l-J"l.. -dd . Oo~ A . 01'10-0 OO.~D <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[J SIGN <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />[J ADDITION <br />[J MOVE <br /> <br />[JALTERATION <br />[J DEMOLISH <br /> <br />[J REPAIR <br /> <br />[J INSTALL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />[J OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT <br />~ C3 :is lJ? <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />~~ ~ A.J..-/LDi)6 <br /> <br />SQUARE FOOTAGE HEIGHT <br /> <br />BUILDING SIZE <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 />[J ELECTRICAL <br /> <br />$-' '7 ds' ,. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />o W.R.'E.C. <br /> <br />// J ')iJ/ <br />( )%. <br /> <br />INSTALLAT~/ <br /> <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL <br /> <br />[JGAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: [J 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 AREAD YES [J NO <br /> <br />BUILDER <br /> <br />cp~g~~<"$ECTIQ1i I <br />~. ~ . . ... . COOPAN; ;)", d S~f': ~~J~ <br /> <br />IJr~/'-- STATE CERT OR REGIST # ({-r{ f)C;f?/~~ <br /> <br /> <br />***************************************************************** <br /> <br />SIGNATURE <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 />''''!?''~;''~'7::'''''''''./{*'*-';;:'*~jf''';(~~'**';,; *"* */(/,-", * * * * * * * * * * * * * * * ** * *'** *"* * *... *.* ** * * * * * * * * * * * * * * * <br />,:" ,': ,,', ", ,',' , " j,..", ,',',.' .; <br /> <br />,I. , <br /> <br />,y <br /> <br />.;.,'.... <br /> <br />.~ <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />. .. <br /> <br />t', <br />SIGNA'I'UJ;{.E <br /> <br />. ".i. ~.~ <br /> <br />"'; <br /> <br />STATE CERT OR REGIST # <br /> <br />;~, <br />