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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8m St, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECE lVED <br /> <br />g -cJ.i -Ot( <br /> <br />OWNER'S NAME <br /> <br />~~CJres+ M li <br />0017 Gal( <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />JOB ADDRESS <br /> <br />OWhJJrS <br />Blvl <br /> <br />PHONE <br /> <br />1f;; ~io Il :1./ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # 03 -;}.&~.;< 1- OO/D~ 1/200-00+/ <br /> <br />BLOCK <br /> <br />SUBDIVISION <br />(ORTAIN FROM PROPERTY 'rA)( NOTIC:El <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />D SIGN <br /> <br />D ADDITION <br /> <br />DALTERATION <br />D DEMOLISH <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />D MOVE <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />DMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />0# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />D OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />CM%l,!y.' m,cJ:; f'.qrv)PN i OJ U.f1 1'1' <br /> <br />SQUARE FOOTAGE HEIGHT <br /> <br />BUILDING SIZE <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 />D BUILDING <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />(] ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D <br /> <br /> <br />D PLUMBING <br />ttr;;ECHANICAL <br /> <br />$ <br /> <br />}8+5, OV <br /> <br />VALUATION OF MECHANCIAL INSTALLATIO <br /> <br />(] GAS <br /> <br />(] ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: (] BLOCK <br /> <br />(] FRAME <br /> <br />D STEEL <br /> <br />(] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES (] NO <br /> <br />L <br /> <br />CONTRACTOR · 'SECTION <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />PLUMBER <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br /> <br />MECHANICAL <br /> <br />STATE CERT OR REGIST # {!At.o <br /> <br />OTHER <br /> <br />************************************************* <br /> <br />COMPANY- <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />