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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 1/ :2;' Df <br />PHONE CONTACT FOR PERMITTING rtffs3-.s:t1..!S:O <br /> <br />OWNER'S NAME &/L;(AJJ} /I Ort{ Z. ~ <br />JOB ADDRESS L <:. T I <r 37 (./'$ /U~ Ci4.,Ro P'1 4,-,-< ' <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: 0 SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />g MUI:HLE HOME <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK L-J"'llll <br /> <br /> <br />BUILDING SIZE L:/)< b ( 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 BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />i ~~ yv <br /> <br />-' <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />'T'VPk' ('\I<' rnNC:'T'RfH:'T'TON: n BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />padmE~S ~o pa~uT~d 'padX~ amEN <br /> <br />padmE~S ~o pa~uT~d 'padX~ amEN <br /> <br />4uamDpaTMou~oe Dur~e4 uosJad JO aJn4euDrs <br /> <br />4uamaDpaTMou~oe Dur~e4 uosJad JO a~n4EuD1S <br /> <br />l{:+eo UE a){E4 :+ou PTP[] PTPD Ol{M PUE <br />(UOT:+EOTJT~uapT JO adX~) <br />paonpo~d sell Ol{MD <br /> <br />"l{:+EO ue a){E:+ :+OU PTP 0 PTP DO~M PUE <br />(UOT:+EoTJT:+uaPT JO adX~) <br />paonpo~d SEll Ol{MD <br /> <br />~O 'am 0:+ UMOU){ XllEUOsJad ST 0l{1] <br />(paDpaTMOU~OE uosJad JO ameu) <br />Xq <br />OZ ' JO Xep----- STl{~ am aJoJas <br />panpaTMOU~OE SEM 4uamnJ:+suT nUTona~oJ al{~ <br /> <br />JO Jam 0:+ UMOU){ ^lleUOsJad ST Ol{MD <br />(panpalMOU){Oe uosJad JO ameu) <br />Xq <br />~z J Jo. Xep ----- STl{:+ am a~OJaS <br />panpalMOU){Oe seM :+uamnJ:+suT DUToDaJoJ al{~ <br />