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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 />PHONE CONTACT FOR <br /> <br />If.-, '-(.-- 0 L( <br />DATE RECE IVED I <br />PERMITTING ( '6"2. 0;;" Z C ;55 <br /> <br />OWNER'S NAME <br /> <br />SV/'C'hrorr-t Pq+rqn <br />5"'t f5.C.Jn~ n 1\ <br /> <br />PHONE <br /> <br />g- /'; '""' 7 ?'2- - '2 C. 8'S- <br />I~ 335 '12- <br /> <br />JOB ADDRESS . S.3 2.. ..3> <br /> <br />Ze..LJ4 I../rh, 11.3 <br />, / <br />b020 SUBDIVISION <br /> <br />75 ~ BLOCK <br />PARCEL ID # I z-. - 2. ,-Z! (")(1 'Ia oaSon '- 0/60 (OBTAIN FROM PROPERTY TAX NOTICEl <br />WORK PROPSED: DNEW CONSTRUCTION 0 ADDITION DALTERATION 0 REPAIR ~ALL <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />DS~ <br />PROPOSED USE: ~GL 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 />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />(( e7 if?? d-P <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE 0 '70 cJ <br /> <br />HEIGHT S-- ~.c.-f- <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 />o BUILDING <br /> <br />$ <br /> <br />/.700 <br />" <br /> <br />PERMITS REQUESTED <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 ~FING 0 SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <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 />SIGNATURE <br /> <br /> <br /> <br />p~ <br /> <br />STATE CERT OR REGIST # <br /> <br />************************ * *************************************** <br /> <br />SIGNATURE <br /> <br />~MPANY <br />//", slrATE CERT <br /> <br />ELECTRICIAN <br /> <br />OR REGIST # <br /> <br />******************************* <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <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 />