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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 aTH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />/I-/ftJt! <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />r~ <br /> <br />c-~ <br />o f0e h~ <br />Cef-~I~A, 1/<; <br />BLOCK SUBDIVISION <br /> <br />9(3 ' <br />PHONE < 7S;).. -?.01 g <br /> <br />OWNER'S NAME ~ i r; f}J0 C) , <br />JOB ADDRESS I~I /6 . ;f(),d <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />/ <br /> <br />PARCEL 10 # <br /> <br />WORK PROPSED: ~EW CONSTRUCTION o ADDITION <br />C!-t!J;.JCf:-Gt!;. SLJ9J3 <br />DSIGN 0 MOVE <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELI;J;NG rPMULTI-FAMILY <br />1>R I vt; WAll1 Y/JP -reI?. P~tLeJI <br />o COMMERCIAL J 0 INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~OBILE HOM <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />/D'X .5'11) 'hrl - S3CJ <br />. <br /> <br />~ If -. & /VC!t:.~7E <br />SQUARE FOOTAGE ~~~ <br /> <br />fil-T) <br />, <br /> <br />HEIGHT <br /> <br />U/I -+- 71:" <br /> <br />BUILDING SIZE <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 />':J?f BUILDING $ ~29~ VALUATION OF TOTAL CONSTRUCTION <br />0 ELECTRICAL AMP SERVICE 0 Progress Energy 0 <br />0 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 AREAo 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 ?R REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />*********************~******************************************* <br /> <br />OTHER <br /> <br />f>>M~~ <br /> <br />COMPANy(~c/JJiD ~~Jttj;;; <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />