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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 lVED <br /> <br />/0 .-~t?-Ocf <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME 8llRBlll?jl ..::rEnAl tJCJocirt.{/J <br />JOB ADDRESS . S3;; 7 4/1// .7]" II/), 2E17I/ 'I R /ilL L-s <br />. , <br /> <br />LEGAL DESCRIPTION: LOT(S) ~'f'!>(~~~heAkrtJ(LOCK /~3 <br />PARCEL ID # / /- ).(,.-.:;, /-{)O I (J- / ~ 30Q- 60/ tJ <br /> <br />PHONE '?13 779~t~? <br /> <br />F/ 33S</ / <br />seQ1J<,..J I~ ~,)J"'S4Ip~' $1 <br />SUBDIVISION ~AN7e ~ EAst <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />~IGN <br /> <br />[JADDITION <br /> <br />[JALTERATION <br /> <br />[J REPAIR <br /> <br />[J INSTALL <br /> <br />[J MOVE <br /> <br />[J DEMOLISH <br /> <br />PROPOSED USE: [J SGL FAMILY DWELLING <br />~MMERCIAL <br /> <br />[JMULTI - FAMILY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[JOTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK liE FOR B /5 H <br /> <br />51 ~AI <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. ..r .. <br />~ '"') , ~... Uc-j)~. <br /> <br />-;{', (;) t) tU\~(_ <br /> <br /> PERMITS REQUESTED <br />oi'BuILDING $ 9soo VALUATION OF TOTAL CONSTRUCTION <br />[J ELECTRICAL AMP SERVICE [J Progress Energy [J W.R.E,C. <br />[J PLUMBING <br />[] MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />[] GAS [] ROOFING [] SPECIALTY [] OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />[] FRAME <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES ~NO <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />SIGNATURE <br /> <br />~ COMPANY <br /> <br /> <br />'~.~~...:~~~~.~~~~.~~.~~~::~.:.......... <br /> <br />BUILDER <br /> <br />r"LECTRICIAN/f'l, /7 /~ <br />SIGNATURE ~~ ~~ <br /> <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <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 />