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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 RECEIVED <br /> <br />// -/t. -tJ ~ <br /> <br />PHONE CONTACT FOR PERMITTING ,f"/:3 - ? C!.:< -33 J 9 <br /> <br />OWNER'S NAME TSfhz.-t>1heJ4- t()~dr"'~, <br />JOB ADDRESS i1:r-; ~u-n +v-~ -k,..J..~h ~A <br /> <br />PHONE <br /> <br />.:>:1 ~7 614 /I ]2,a ~ I"t' V I4-r ~J <br /> <br />2erLr h,lls <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: DNEW CONSTRUCTION <br />Os I GN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />~COMMERCIAL <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />(ORTATN FROM PROPERTY TAX NOTTC-F.) <br /> <br />o ADDITION <br /> <br />~ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o MOB I LE HOME <br />o OTHER <br /> <br />OMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />DESCRIPTION OF WORK .lJfir;w/)~ Se--fVl~~ (JAi\.e t <br /> <br />. <br />it-I\J ~...J ~ 1'IyC:w#-j <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 />PERMITS REQUESTED <br /> <br />o ELECTRICAL <br /> <br />~~) <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~ fr~'lvc"~s €r'll:'I'-;r 0 W.R.E.C. <br /> <br />o BUILDING <br /> <br />$ <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <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 />CONTRACTOR.... SECTION <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE ~ /..,- ~ <br /> <br />COMPANY Pt9++/~ E/~cfrl'c <br />EC- tJOOI.:U,,[f <br />STATE CERT OR REGIST # c'4t - "'.:l '3 '7 <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br />COMPANY ~#/~ ,Ei~c:.J-,./~ <br /> <br />STATE CERT OR REGIST # Cmc.-O'!i~-i/76 <br /> <br />"';~3~ <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />