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<br />~, <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 ~;l3o;loyr <br />DATE RECE lVED, " <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAMECZ~~E\<-\ ,~ , .Rt.)R-~E.\\E PHONE'b'3 'l"33 lat"C) <br />JOB ADDRESS ,-37 30 3 f>\~kE\\' ~ M,,\'-.L. ~\)~~.:J-;= <br />LEGAL DESCRI PTION: LOT (S) 15.E. "" \ 5 ~ BLOCK SUBDIVIS IO~\ ~:~~: ~ ~~ <br />PARC"L ID #~!:l"'~"''''''t'\5j') '*OISE 'ORTAr~ FR(L p__~ NOL_~I <br />WORK PROPSED: ~W CONSTRUCTION 0 ADDITION DALTERATION D REPAIR D INSTALL <br /> <br />D SIGN <br />PROPOSED USE~ FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />D# OF UNITS <br />OSWIMMING POOL <br /> <br />D MOBILE HOME <br />D OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK P E u....) <br />BUILDING SIZE 'd..l.\ ";K.lo~ <br /> <br />-b L""") e. ~) "-.J ,,,- ') ~ <br /> <br />SQUARE FOOTAGE <br /> <br />l <br />HEIGHT d~ <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 />)8(eUILDING <br />~LECTRICAL <br /> <br />PERMITS REQUESTED <br />$lli .) ~ ~ ~ ,~~ VALUATION OF TOTAL CONSTRUCTION <br />-a~l;::) AMP SERVICE X FLORIDA POWER D W . R. E. C. <br /> <br /> <br />~UMBING <br />~ECHANICAL <br /> <br />$ f.o )~~~, ~~ <br /> <br />VALUATION OF MECHANCIAL INSTAL <br /> <br /> <br />~S <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION:~OCK <br />FINISHED FLOOR ELEVATIONS <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES ~ <br /> <br />CONTRACTOR .'.,' SECTION <br /> <br />BUILDER DLc.:J \.0t, ~ COMPANY <br />SIGNATURE.::t '> C""".a...- d/ Y STAT" CERT OR R"GIST # <br />**********************************C**OM**PAN***Y******O**~********** <br />ELECTRICIANO LU N S ~ ~ <br />SIGNATURE c;r:) ~ STATE CERT OR REGIST # <br /> <br />v vJf' IN <br /> <br />****************************************************************** <br /> <br />PLUMBERaLC>~5~ COMPANY DwY\Q/( <br /> <br />SIGNATUR~~ -'~ ~ STATE CERT OR REGIST i <br /> <br />~, ***************** *************************~*~~**~**** - I ~ <br />MECHANI~ - . __ COMPANY --"~-!O ~- _? <!f~ <br /> <br />STATE CERT OR REGIST # ~__.. <br />.c.. <br /> <br /> <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />