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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATIO~ <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />g I-I/t;y <br />( <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />CONCllZE: <br />2 ~ 2- G Au..... <br /> <br /> <br />PHONE <br /> <br />- 4~8 -() 270 <br />S'&U~ <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />)(sIGN AWNING'" <br /> <br />o ADDITION <br />o MOVE <br /> <br />OALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />)( INSTALL <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />X::OMMERCIAL <br /> <br />OMULT I - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br />I <br />BUILDING SIZE ~ X <br /> <br />W Nlt.J~ <br />~Oll <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />W lTW'- q l6 rJ CO Pi CJ N <br />SQUARE FOOTAGE 1-'.. " <br /> <br />IT .I <br />HEIGHT -.J {] AG- <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 />.. BUILDING <br />~ELECTRICAL <br /> <br />PERMITS REQUESTED <br /> <br />~ 1775..00 VALUATION OF TOTAL CONSTRUCTION <br /> <br />EJ( (~ AMP SERVICE <br />AT WA-U-- <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />f/LfL- Bd1 <br />\)~J~ <br />l1p[fisv~ ,?/Jc1 <br />~;lW.R.E.C. f?~ <br />~(). 0 ~'-f)C.. <br /> <br />o PLUMBING <br />b 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 PRO,JECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />L <br /> <br />CONTRACTOR SECTION <br />COMPANY~ $l6N g AWNltJ6-- <br /> <br />STATE CERT OR REGIST # CJ3 C A II ~ 12- <br /> <br />BUILDER <br /> <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 />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />