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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 />/tJ-:2?--cY <br /> <br />PHONE CONTACT FOR <br /> <br />PERMIT~CO PERMIT SERVICI <br />1-866-824-7894 <br />Toll Free <br /> <br />PHONE <br /> <br />OWNER'S NAME Ia.m~~ ~ MUrl e.( <br />JOB ADDRESS 35 '3 ~ 8e '(''It ,L",. <br /> <br />Ma.r+/~ <br /> <br />SUBDIVISION E Y\'1eraliL POIJ-~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL 10 # ,;J,l/-~'-;J..'-OO:J.O-D(){){)t)-07:20 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o SIGN <br />PROPOSED USE: OisGL 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 />o MOBILE HOME <br />o OTHER <br /> <br /> PERMITS REQUESTED <br />t8J BUILDING $ /6: (ltJC1, ('){) VALUATION OF TOTAL <br />. <br />~ ELECTRICAL AMP SERVICE 0 Progress Energy 0 <br />DO PLUMBING <br />o MECHANICAL $ VALUATION OF MECHANCIAL <br />o GAS o ROOFING o SPECIALTY 0 OTHER <br /> <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK Room Add/t(ol\" wi B~ 'f- Cover<..d.. Oec1.... <br />13 x:28 a~3 '. Llv,~ - 't1.;L <br />BUILDING SIZE # X/;z. /IVlIt.,7 SQUARE FOOTAGE ~,..e h - /30 HEIGHT ..5~~ p/~.. <br />Porc...A - /0')( /3' , <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 />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />tfJ;1;:- <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE <br /> <br />BUILDER <br />SIGNATURE~;" Jt.-IL <br /> <br />COMPANY ~. 5t-a:f~ <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN~ <br />SIGNATURE, . ~~ <br /> <br />COMPANY <br /> <br />(!, r (!.J1 d.~ €" / e c..f rt C- <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br /> <br />COMPANY Chr( s 13a.h,.. PI u~,~ <br />STATE CERT OR REGIST # I!FooCf/SYJf <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 />