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<br />CITY OF ZEPHYRHILLS PERMIT APPLlCA~ION <br />BUILDING DEPARTMENT 5335 eTH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-Q021 <br /> <br />DATE RECE IVED <br /> <br />11-5 -()tj <br /> <br />PHONE CONTACT FOR PERMITTING 81 ~ -,I Y - .~ <br />36'-to <br />OWNER' s NAM~ r"u \ k Pu ,'ide) J lL. PHONE B \ 3> - 1 \ Y - 364S- <br />JOB ADDRESS 3<2633 /\JQ..[')f">-""l') Au~nu€.. "2..<2..J>fuJrh',\\)\ FL.. 33:S-Ll7... <br />LEGAL DESCRIPTION: LOT (S) \ -, BLOCK 5 SUBDIVISION Do.l p~ So 'r:x::hvit;~l.ly) <br />. <br /> <br />PARCEL ID # 0 ~ ~Co ~ I (;Ol.O ODSDO OD4 I (OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION D ADDITION DALTERATION D REPAIR D INSTALL <br /> D SIGN DMOVE D DEMOLISH <br />PROPOSED USE:~GL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> D COMMERC IAL o INDUSTRIAL OSWIMMING POOL o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK -0 ('\. \l('AC.A~ ~f'\{,C _ - -.3/".:l / r.T <br />BUILDING SIZE SQUARE FOOTAGE HEIGHT <br /> <br />tc, ~. <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 />~UILDING <br />o ELECTRICAL <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />..-VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />\ <br />\ <br /> <br />D <br /> <br />W.R.E.C: <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />/' <br />/ t9'/.; ) <br />:' ~~ <br />VALUATION OF MECHANCIAL INS'l'~TION ..~ /' .// <br /> <br />........"---.N~_____,_'"'---' <br /> <br />o PLUMBING <br />b MECHANICAL <br /> <br />$ <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />SIGNATURE <br /> <br /> <br />CONTRACToR ..'SECTION <br />COMPANY t.) t!t.) '" )t:: ~ <br />~\r )STATE CERT OR REGIST # <br /> <br />BUILDER <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 />MECHANICAL <br /> <br />****************************************************************** <br />f~ <br /> <br />COMPANY <br /> <br />c <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br /> <br />STATE CERT OR REGIST # <br /> <br />t.*********************************** <br /> <br />OTHER <br />