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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 IVED <br /> <br />/,;)..-/4 <br /> <br />PHONE CONTACT FOR <br /> <br />'l!C'BIffERMIT SERVICE <br />1-866-824-7894 <br />Toll Free <br /> <br />OWNER'S NAME <br /> <br />~JJ/l <br />JS<JO <br /> <br />E <br /> <br />J aile tJal"re- II <br />TOtJrma/)/Je f)rN/~ <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISIONLtunJc!' PO{~1i <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />~147 <br /> <br />BLOCK <br /> <br />PARCEL 10 # <br />WORK PROPSED: 90NEW CONSTRUCTION <br />OSIGN <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: D SGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D # OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />~OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />, <br />UL/>tU <br /> <br />BUILDING SIZE <br /> <br />1M- t 362 <br /> <br />SQUARE FOOTAGE <br /> <br />d [tf ;J <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANSjj& (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY RMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. ~ <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. 2'-1 D. \:).C' <br /> <br />~G <br /> <br />PERMITS REQUESTED <br /> <br /> <br />~ BUILDING $ cY4 , ()(JO . (1J VALUATION OF TOTAL CONSTRUCTION <br />ELECTRICAL AMP SERVICE D Progress Energy D W.R.E.C. <br />PLUMBING ~) (p cf3 <br />D MECHANICAL <br />$ VALUATION OF MECHANCIAL INSTALLATION <br />o GAS o ROOFING o SPECIALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />BUILDER <br />SIGNATURE ~> #-ell. <br /> <br />COMPANY <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 />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />