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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 ~ 3 ~ <br />DATE RECEIVED 0'.. .0 <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME & - Ff/~ ~ <br />JOB ADDRESS 39(,'35 jf(fl}2Rt-f,/,e At./jz C~1j~'c <br /> <br />PHONE 'i'lr -"95 -~ <br />~ ~)V. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # "2'1-- 2&-~/-(;O!X:)-()OICd - ~7'O <br /> <br />SUBDIVISIONA7AK';.Ir d",q AUc.J. <br /> <br />WORK PROPSED: ~ONSTRUCTION <br />o SIGN <br /> <br />(ORTAIN FROM PROPF.RTY TAX NOTIr.El <br /> <br />o ADDITION <br /> <br />OALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />PROPOSED USE:OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />BUILDING SIZE <br /> <br />~ lue'<L"~ <br />SQUARE FOOTAGE b U <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK ~ c:l. ~ -5 D <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 />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />(0 tf J'l.l.- <br />t L .. (I <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />I La.?, ~o <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />t CjtJ <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />11 '):?-,O <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <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 />I S PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />c:Q~gT()l{.SECTION <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 />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />OTHERfrl.~,/h /%noce*-r ~'(J ~. <br />S1GNATU~ e.s~, <br /> <br />***************************************************************** <br /> <br />COMPANyA'~Ab(7".~t:hAr~ ~.-c. <br />~ ~ERT OR REG 1ST # 0 6<=1 7'17 <br />~~_:t~),;~~~ U!C~ bJ(C <br />