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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME DAV,"A ;.1. ~ IJ (r <br />JOB ADDRESS 7:;L If:J. M r 4 / ~NI'I j" () P <br />LEGAL DESCRIPTION: LOT(S) C(" BLOCK -, SUBDIVISION OlQ.K rrl,,(/J ,S;/.(Bi>, v'.$JD/V <br />PARCEL ID # !) '1- C).. s,., ~''"' Q ~ (:)0 - tJ 0000,- C\ 1) ~(} (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPSED: ONEW CONSTRUCTION 0 ADDITION OALTERATION 0 REPAIR caSNSTALL <br /> <br />PHONE '7 F1 0 --& {P 0 (P <br />2 - M i / s (() jq.. t< RL-lAJ S u-B DUls /0;";) <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />~THER <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />DEPARTMENT APPROVAL <br /> <br />( rr) L.t M /Iv U "'^"' ') <br />3t <br /> <br />S l-4L d <br />?" / <br /> <br />HEIGHT <br /> <br />c:J RESTAURANT & HEALTH <br /> <br />DESCRIPTION OF WORK <br />~ / X/~' <br /> <br />r /-I S /.4-// <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />~UILDING <br /> <br />$ 1,S-tJo.oD <br /> <br />VALUATION OF TOTAL CONSTRUCTION <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 />~~ E R ,q 1l..l1"'" I N l.t ........ <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES ~" <br /> <br /> <br />BUILDER ~ <br /> <br />SIGNATU~~'::" 1r - <br />I <br />****************************************************************** <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <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 />