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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 />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME T\;L./4lA.RJ" ~f\~k~ <br />JOB ADDRESS .s 8 70 & So...:T\-\- P ,qVE, <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL 10 # ) '(- :4lb - ~ 1 - 00 Iv - oo.s-oP - 0/5-..s- <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: DNEW CONSTRUCTION D ADDITION DALTERATION DREPAIR Id'1NSTALL <br /> D SIGN D MOVE D DEMOLISH <br />PROPOSED USE: ~GL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOB ILE HOME <br /> D COMMERC IAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />(ORTAIN FROM PROPERTY TAX NOTICE) <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ..5e..e.ViC-c- u'P 6-P-..~cJ.<- / Lv.'/{ L " /'LJ f34.1Jj KOD/>^- Adcl.'rr7' 0 nJ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 />o BUILDING <br />!d-'ELECTRICAL <br /> <br />PERMITS REQUESTED <br /> <br />di 3331) <br /> <br />$ <br /> <br />1:50 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE ~IDA POWER ~.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 <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />CONTRACTOR ',.'.,' SECTION <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />.LECTRICI~< ~ <br />SIGNATURE;' ;;t <br /> <br />****************************************************************** <br /> <br />****************************************************************** <br /> <br />COMPANY /)1-;0/14 $/.e~'c- <br />, <br /> <br />STATE CERT OR REGIST # Ee tJO)S-'z4L/ <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 />