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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br /> <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 ::ffi <br />813-780-0020 FAX; 61J-760-0021 ~ i~5' <br />DATE RECE IVED <br /> <br />PHONE CONTACT FOR PERMITTING CArl'S el,a~-' V?:Zra( <br /> <br />OWNER'S NAME ~"" c. <br /> <br />Po--2f4.W-1krJ-5 . ~L <br />" <br /> <br />C~ Alucl <br /> <br />PHONE !lP S- - :&.J 5 ~ .>CC)~ <br /> <br />JOB ADDRESS 7 t.j f/'9 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # 3<(- :JJ~ ;,(1- D J So - Ocr C'oC - c/o rl. t:J <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />(J ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />f;ll SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />S COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAlJ <br /> <br />DESCRIPTION OF WORK ~i'<;.-\-.,-\\ Mn"",,,~ <"'-Sr--. <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 />PERMITS REQUESTED <br /> <br />~ /" .::>~ <br />':'J'::> ' <br />~~. ~~ <br /> <br />~L\J~. <br /> <br />f2.J.--i- L . <br />1)= UGi}/ILlJ <br /> <br />~ BUILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />/, '3 I () . <br />, <br /> <br />,~~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />~ OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />SIGNATURE <br /> <br /> <br />CONTRA.QT()R.SECTION <br /> <br />BUILDER <br /> <br />COMPANY 0;..,. ie. <: ;5"'-:<;~N' <br /> <br />STATE CERT OR REGIST # ~.5 cJ d t:J cc' -; 'J <br /> <br />********************************************** <br /> <br />ELEC~l'RICIAN <br />SIGNATURE (<J <br /> <br />COMPANY <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 />*'k**************************************************************** <br /> <br />MECHi\NI CAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # . <br /> <br />***********************'k***************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />