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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 />/I-~ol <br />DATE RECE IVED <br /> <br />PERMITTING:~l~J.-S" L~/:Yfft~ <br />, , 80 -I .sf t" .2 - 13u./-'Ui-e.'%) <br /> <br />OWNER'S NAME <br /> <br />(Jj, (!51t.S <br /> <br />1J::?lr; 5 <br />(I. ?v~ <br /> <br />{(-bi4 fxn\:\) PHONE <br />, ~. (trUs, <br /> <br />JOB ADDREss"""Sl530C) <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # /1-~~-,21-(JqlfJ-u~r;tJ(J-oI"J// <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION .MADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />~MMERCIAL <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 />BUILDING SIZE <br /> <br />D <br />OF WORK ~ II 'fitlY <br />2.8' ~ 2.0 # <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />R~ ScreeN f{m., <br />5/aO I <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />7~- '/1 <br /> <br />DESCRIPTION <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 />PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCT <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress En <br /> <br /> <br />o W.R.E.C. <br />f.l~ 'fi., ~CJ <br /> <br />INSTALLATION~~ 1. '5 ~ <br /> <br /> <br />PERMITS REQUESTED <br />$ 1/9) C/ OClc..?6 VALUATION OF TOTAL CON <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />CilSPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />J 'j I <br />[JV'6THER It., ~'l)J,' ~i ;')-1-~, ~I~:.. I' .,.;,.-. <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES ~ <br /> <br /> <br />/(/) <br />BUILDER . ~ <br />' ,'rA'~ <br />SIGNATURE ~~// . , <br /> <br />~ <br /> <br />OWAJ~ ~~S ("t 1- ':b ^ ' , <br />'JelJ'AlJ~~Yl r"l s b~ f'ir~ I rl.S <br />STATE CERT OR REGIST # <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 />