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<br />DATE RECE IVED <br />PHONE CONTACT FOR PERMITTING g;f)fJ/f/ ~-jI t:6 7 <br /> <br />OWNER' S NAM~-&Vb/ ~/1 ~-yd/p <br />JOB ADDRESS 6~ J7 //.7/51: <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 BTH st, Zephyrhills, FL 33542 <br />B13-780-0020 FAX: 813-7BO-0021 <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID # //-.-:,{;, -~ /-~l///C ._/ -;/~C' -~6'/ V <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPF.RTY TAX NOTICEl <br /> <br />o MOVE <br /> <br />DALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br />Os I GN <br />PROPOSED USE: ~'S'GL FAMILY DWELLING <br />o COMMERC IAL <br /> <br />o ADDITION <br /> <br />OMULT I - FAMIL Y <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOB I LE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ~~..RY/L-~ ~/Rad~ d?.o&7~~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 ~NERGY 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 />uz( ELECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />;fcJC <br /> <br />AMP SERVICE <br /> <br />~ FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />b MECHANICAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: f1' 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 AREAO YES 0 NO <br /> <br />CON'lRAcroa'I'i SEC':Ii.I ON <br />f,. c,', ':,',:. ',' ',:.,"'.,', .'-' .','...i;->....!".'..:;::::_.,:.':'.~;,> ':,' ...'-" :... ...,'.... ',i,. :,,:".',"; <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE&~// ~ <br /> <br />COMPANY~..Pj~~~~~C~/~ <br />STATE CERT OR REGIST # G~CJtJ//I7..?9 <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 />