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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 RECE IVED <br />PHONE CONTACT FOR PERMITTING B I'? -q-r If - 50(05 <br /> <br />OWNER' S NAM~~~\\ v. V\ -Ko...) W 'ne....-t-~e\ <br />. J <br />JOB ADDRESS . 3~D~q ~ ~\)'<.. <br />LEGAL DESCRIPTION: LOT(S) \\1 \?\ \')..::>\ \L\. BLOCK q~ <br />PARCEL ID # \ l- ~l, - ~\ - 60 \0'- D C{ 300 - 0 \ \ I <br /> <br />PHONE e,~~ - q-r '-4 - 5'105 <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />P(REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br />PROPOSED USE: 5(SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <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 />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK '\(ttvv\ove. 0...\\ o-\' (!)tcl ('DO-\" and.. (Lt>la.CJL S~\\V\~\~. <br />().;'oi-0.. 0--:\ u.. VII\ \ V\ ~L WI ---\- -r ,- vn .I . -f'+ I . <br />BUILDING SIZE SQUARE FOOTAGE ~\~()D S\,! HEIGHT <br /> <br />b 0-0.. \A ood ) <br />~ s~'&) <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 />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ CS~50 ..CO <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL $ <br />o GAS )l1 ROOFING 0 SPECIALTY <br />TYPE OF CONSTRUCTION: b( BLOCK <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />I S PROJECT IN FLOOD ZONE AREA 0 YES 0 NO <br /> <br /> <br />BUILDER <br />SIGNATU~~\~ ~ vJ~~ <br /> <br />COMPANY N A <br /> <br />STATE CERT OR REGIST # <br /> <br />~(>.. <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 />****************************************************************** <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 />