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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 />/ (J - ;~j - (J L/ <br />, <br /> <br />PHONE CONTACT FOR <br /> <br />~ecrtJERMIT SERVICE <br />1-866-824-7894 <br />Toll Free <br /> <br />PHONE <br /> <br />PARCEL 10 # <br /> <br />,cre-I c.ha..-Ikrl" <br />j <br />JI7lfl e .I<.~ S"1 &. <br />S <br />o OJ.. -J..~ -rJ/ - ()O/o -as-OOO - 0030 <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION S !.et.py . JId//av JL <br />(OBTAIN FROM PROPERTY TAX1NOTICEl <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />OSIGN <br />PROPOSED USE: ~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />~ ADDITION <br />o MOVE <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />* MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />\S~J ~ <br />~^ <br /> <br />. <br /> <br />I'Od/K ruI rftl-/ OIl a/ tL ~ 'J k <br />JL't. I cS H/i r; '-S'&L6 J... I <br />SQUARB' FOOTAGE .3l/0 I HEIGHT <br /> <br />~ //1 rlPtoJ <br /> <br />BUILDING SIZE <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 />-1 - ;;)~ <br />I ~. <br /> <br />'2.' " ~~ <br />l J. <br /> <br />.r~b. <br />fi-JJLC. - <br /> <br />PERMITS REQUESTED <br /> <br />I1J BUILDING <br />~ ELECTRICAL <br />o PLUMBING <br /> <br />$ <br /> <br /><f@. 00 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <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 />" FRAME <br /> <br />o STEEL <br /> <br />'" OTHER aIu.m <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />BUILDER <br /> <br />COMPANY 0fJJ /.A. r- PJe...t1 Cl1.o.....JJ...r0 <br /> <br />_ SIGNATURE <br /> <br />~ <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />~SIGNATURE <br /> <br />~@r~ <br /> <br />COMPANY O/VUr - j: teAL CJ.,L./krly <br />STATE CERT OR REGIST # <br /> <br />ELECTRICIAN <br /> <br />********************************************************k********* <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />********************************************************~~********* <br /> <br />MECHANICAL <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 />