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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 RECE IVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME M CAR 1- A/j/ht7.~ ~/f/ PHONE t;?/5>- 7i~. ~/ 8'";5 <br />JOB ADDRESS 1'J V 5' :? ~ . 1-1 '1/<;,;;' q- /!V~ .W <br />. """( <br />LEGAL DESCRIPTION: LOT(S) / 3 ~ BLOCK SUBDIVISION <br />. <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br />~ERATION 0 REPAIR 0 INSTALL <br /> <br />PARCEL 10 # <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />o COMMERCIAL <br /> <br />oMULTI - FAMIL Y <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~BILE HOME <br />o OTHER <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />IfF?//fC~ ~C~/E,f[Jt):5 <br /> <br />BUILDING SIZE <br /> <br />7// <br /><?'- ?< / 6 <br /> <br />SQUARE FOOTAGE <br /> <br />w/T7; >>/A/DOu/<; <br />;}.)O <br /> <br />HEIGHT 'if /t,d - 9/'1// <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 />:!2.. ,... ,. ~~ .....v:. <br />'r/S' -' J?l.J)..A.:) " <br />~'S .'~'~ ~. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />~ECHANICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />t!7tJO,oo <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK 0 FRAME <br />FINISHED FLOOR ELEVATIONS oj{) GA'/ff)~ <br /> <br />o STEEL <br /> <br />0" OTHER <br /> <br />I S PROJECT IN FLOOD ZONE AREA 0 YES <br /> <br />~O <br /> <br /> <br />BUILDER C';7,~ <br />SIGNATURE ,;i{6:A ./ ~ <br />-' , <br /> <br />COMPANY <br /> <br />f)/~u?/U <br /> <br />STATE CERT OR REGIST # <br /> <br />x <br /> <br />:::::::::/ ~1!Ja~~ <br /> <br />****************************************************************** <br /> <br />(r-, <br />COMPANY ~ () LV'JI!.LA <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 />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />