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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 lVED <br /> <br />/ /_'-1_4';/ <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME \.~~nfC ~ rf7lJss <br /> <br />JOB ADDRESS l~ ~~ '_ <br />LEGAL DESCRIPTION: LOT (S) 6 ~ I ~ BLOCK //1 <br /> <br />PHONE <br /> <br />813 77q 1/2-7 <br /> <br />PARCEL 10 # <br /> <br />SUBDIVISION~p}uj Y h.r1l~ <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o SIGN <br />PROPOSED USE:~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />~ ADDITION o ALTERATION o REPAIR o INSTALL <br />o MOVE 0 DEMOLISH <br />OMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br />o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />c=J <br />DESCRIPTION OF WORK 01 ..t' /7 <br />BUILDING SIZE M)( 17 <br /> <br />RESTAURANT & HEALTH <br /> <br />~ <br /> <br />SQUARE FOOTAGE ~. ~rt)tJ HEIGHT <br /> <br />DEPARTMENT APPROVAL <br /> <br />~CJ~ ..W/-h1M <br /> <br />/~' <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 />o BUILDING <br /> <br />~ PERMITS REQUESTED <br />J A, /)AA...82.. <br />$ L~_~ VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL $ <br />o GAS ~ ROOFING 0 SPECIALTY <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />AMP SERVICE <br /> <br />~ Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />J%f FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />/ <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 4f NO <br /> <br /> <br />BUIWER ~ <br />SIGNATURE Nc:2U <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />*************************************************tJ*************** <br /> <br /> <br />ELECTRICIAN~:L::J~ , ~. ~ / rl ~ COMPANY , .JtW( <br />SIGNATUR~ ~ ~ STATE CERT OR REGIST # <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY <br /> <br />MECHANICAL <br /> <br />STATE CERT OR REGIST # <br /> <br />O,~ <br /> <br />************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />