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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 />DATJo:: RECEIVED <br /> <br />/tJ --~? -Dtj <br />. <br /> <br />PHONE CONTACT FOR PERMITTING 8-13 12-( - ( ( 8 S-- <br /> <br />fG' I'V\ 1~1 ~o '" t-J <br />5'3 tf tf r . 5 T <br />LEGAL DESCRI PT ION: LOT (S ) { L, - I Cf . <br />\ \ - 2. ~ - J}- 00 I 0 ~ I S- IOD <br /> <br />OWNER'S NAME <br /> <br />4- As S 0<2.. <br />2 <-~ "I V ~l' Ii, . <br />BLOCK I D I <br /> <br />PHONE <br /> <br />8'[ ~ Cl..17- fIBS- <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />->DJ4-0 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />~OMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />n (\ 8S- <br />K~~croT ~. <br /> <br />BUILDING SIZE ~S-<SV .... SQUARE FOOTAGE ~ -# <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 />HEIGHT <br /> <br />I s fr;VY, <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />11,2.(50 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />o PLUMBING <br />o MECHANICAL <br />o GAS -lQ.ROOFING <br /> <br />$ <br /> <br />VALUATION OF <br /> <br />Progress Energy 0 W. R. E. C. <br /> <br />/----/ . <br /> <br />MECHANCIAL INSTtTION :!J.!l!-~~ <br /> <br /> <br /> <br />'~._~..".-~. <br /> <br />AMP SERVICE 0 <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <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 />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />OTHER ~7lt, <br />SIGNA~ <br /> <br />***************************************************************** <br /> <br /> <br />~ <br /> <br />COMPANY '-.../~rrr; <br />STATE CERT OR REGIST <br /> <br />:Xc <br /># ~CC OZ~<f'15' <br />