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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 />)(flc:r ,Tc'I{f1,~' <br /> <br />OWNER'S NAME L js f-e> 5-t;CdL6? P1. f~' <br /> <br />JOB ADDRESS 7if~1 G-f""/1 19"/~ <br />8 ~A .cr. ik,,:1I L,. <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />DATE RECEIVED <br /> <br />g-/:l.-tlV <br /> <br />PHONE CONTACT FOR PERMITTING 3;?/ ;??y ~<(b--:;;Z ( <br /> <br />PHONE <br /> <br />7'0 '7 9s-s- <br /> <br />~;Zg / <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br />-. <br />BS:r GN <br /> <br />(OBTAIN FROM PROPRRTY TAX NOTICEl <br /> <br />o ADDITION <br /> <br />o ALTERAT ION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS <br />~ERCIAL 0 INDUSTRIAL DSWIMMING POOL <br />\ <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF Wo~lJ;kJvJ """if' (f)tjP,(<'c~ Vf<>.<'J';K <br />I <br />BUILDING SIZE SQUARE FOOTAGE HEIGHT <br /> <br />o MOBILE HOME <br />o OTHER <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 />7-s <br /> <br />o BUILDING <br /> <br />$ 8{),c)Oct. cJ tJ <br /> <br />PERMITS REQUESTED <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. -2 5 \;J <br />2, l.1_ <br />~ /AVG. <br /> <br />.., ,. <br />,~, "" o.j JLD~(" ~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />b MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION 7-.)ro ,)-- <br />o OTHER 11 J <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 AREAD YES 0 NO <br /> <br />OQliI''1'AAg~~'q,SE9'1'~QN <br />. '. . <br /> <br />BUILDER ~ '---... <br />SIGNATURE . J~~ <br /> <br />COMPANY <br /> <br /> <br />STATE CERT OR REGIST # 1E:5 /~OO:;:L./ <br /> <br />ELECTRICIAN <br /> <br />*****************************************************************~lo jtO <br /> <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 />