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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 />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br />f:!'% <br /> <br /> <br />PHONE CONTACT FOR <br /> <br />OWNER'S NAME <br /> <br />Th G.. <br /> <br /> <br />GV'D~i' <br /> <br /> <br />]:v1c.. <br /> <br />J <br /> <br />JOB ADDRESS <br /> <br />p.../I <br /> <br />PARCEL ID # <br /> <br />1--;2..(P -~ <br /> <br />001 (j _ DO ~(.IU - <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: DSGL FAMILY DWELLING <br />~MERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI - FAMILY <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 />7Y1sl-,^/I ~""~f<! <br /> <br />/.,L c::> d..l <br /> <br />S V')-I--e~ <br />, <br /> <br />(9 '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. . ,j , <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRU~ON.;Ct? i~'~l~ <br /> <br /> <br />PERMITS REQUESTED '-1~ ~ 1:5 :etl!. cr ,iJh" <br />o BUILDING $ VALUATION OF TOTAL CONSTlaCTljNU..J)i 1P ~v,J <br />o ELECTRICAL AMP SERVICE 0 Progress Energy 0 ~.E.~. <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />'3,@ 00 <br /> <br />\ <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 <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 />OTHER <br /> <br />COMPANY <br /> <br /> <br />U2,J -( ~~ A..' <br /> <br />COMPANY W ~J..\<. S L.. c..~ <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />********************************************************* <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />