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<br />'- <br /> <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 />o/z~/ov <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br /> <br />~~ <br /> <br /> <br />YJe- <br /> <br /> <br /> <br />JOB ADDRESS 5f rf.2-W~ Z e.)i,,,! i /, <br /> <br />LEGAL DESCRIPTION: LOT(S);-I nc:-i Yl1 BLOCK /#~ <br />PARCEL 10 # /1. 76 - Zt. 0010 - /~f 00 - 6090 <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: ~W CONSTRUCTION o ADDITION OALTERATION [J REPAIR o INSTALL <br /> OS IGN o MOVE 0 DEMOLISH <br />PROPOSED USE: 0SGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SW IMMING POOL o OTHER <br /> <br />(OBTAIN FaclM PROPRRTY TAX NOTICE) <br /> <br />BUILDING SIZE <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />IV e l,J H rr-t e.- <br /> <br />SQUARE FOOTAGE /~C) <br /> <br />~ <br />HEIGHT /6' <br /> <br />DESCRIPTION OF WORK <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 FOPMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />[3- ELECTRICAl, <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br /> <br />ITBUILDING <br /> <br />$ <br /> <br />Yo (f5v() <br />{CO <br /> <br />PERMITS REQUESTED <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />r::'rPLUMBING <br />t:r" MECHANICAL <br /> <br />$ <br /> <br />/ {)DO <br /> <br />TYPE OF CONSTRUCTION: ~BLOCK <br /> <br />o FRAME <br />cPS / 1'-( <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />.:f L 1- <br />/J)?J '{J <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA~ES <br /> <br />o NO <br /> <br />CONTRAcToarSECTION <br /> <br />BUILDER <br /> <br />.1eJtl~:- <br /> <br />COMPANY (JWYf. t> /' <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br /> <br />*********************************************************,********* <br /> <br />COMPANY () tJ/Y./7) <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />.>>~j~ <br /> <br />COMPANY I2J l--vVl vr- <br />STATE CERT OR REGIST # <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />vl MI J~\ <br /> <br />COMPANY (?)L-lv1 ,(/-- <br /> <br />STATE CERT OR REGIST # _ <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />