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<br />~ <br /> <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 / / / 7/ ()II <br />, / ' I <br /> <br /> <br />CONTACT FOR PERMITTING J~-:J.00~-;;( Z? <br /> <br />PHONE <br /> <br />.--- J / <br />OWNER'S NAME ( ) OT1,^) <br />JOB ADDRESS S91,3 <br /> <br />!1e-S/fJI10 r-e, <br />.II. S( 2~1A <br /> <br />BLOCK <br /> <br />PHONE <br /> <br />70y!i <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # //-u ~;:;'/ -()() (O-O/t;oo-O()/tJrOBTAIN FROM PROPERTY TAX NOTICE\ <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br />PROPOSED USE: ~GL FAMILY DWELLING <br />o COMMERC IAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI - FAMIL Y <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 />('f).AJCY€Tc?> PIIrfll'~ Pfl.D. <br /> <br />SQUAR~ FOOTAGE ~ 3C>(J $ p- <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 />HEIGHT <br /> <br />BUILDING SIZE <br /> <br /> PERMITS REQUESTED <br />0 BUILDING $ 3~ () 0 VALUATION OF TOTAL CONSTRUCTION <br />- <br /> I <br />0 ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br />o PLUMBING <br />o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />o GAS o ROOFING o SPECIALTY 0 OTHER <br /> <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 />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 />n cg~ <br />OTHER_,O '----" <br />SIGNATURE~: ~1.. - - ~ <br /> <br />COMPANY {'O A-C-J '('{l"7/l:?_ (Jf)AM/(JQ7JQ;u <br /> <br />STATE CERT OR REGIST # <br />