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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 />PHONE CONTACT FOR <br /> <br /> <br />OWNER'S NAME j;)o h~ L?<">J// <br />JOB ADDRESS J?J~/ ~Zi' #--C" <br />LEGAL DESCRIPTION: LOT(S) ~~ BLOCK <br />PARCEL ID # / ')... ).,G-2/ - 6)10 ... 'CODeX:> - D.s~i) <br /> <br />PHONE ?O - 7 tf'-./.J..$b y <br /> <br />SUBDIVISION ,.JU,-,Jc;:-;? ~ <br /> <br />(ORTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[JSIGN <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />[J ADDITION <br />[J MOVE <br /> <br />[JALTERATION ~EPAIR <br />[J DEMOLISH <br /> <br />[J INSTALL <br /> <br />[JMULTI - FAMILY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />YOTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />j>e'7~ ~;'7t'1" ~;e; <br /> <br />BUILDING SIZE <br /> <br />II-XI9' <br /> <br />SQUARE FOOTAGE <br /> <br />.IJ~~ <br />9V9 <br /> <br />FL:- ICa::>...,..t. <br /> <br />HEIGHT f / <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IE' SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& ~,~IJ SET ENERGY FORMS. <br />FOrovyp; <br />97,)~ i!JLJ)~. <br /> <br />PERMITS REQUESTED <br /> <br />~ s-, <br /> <br />v....> <br /> <br />-. I ..= c.. <br />/).--uv. <br /> <br />I!::( BUILDING <br /> <br />$ <br /> <br />7700 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />crELECTRICAL <br /> <br />700 <br />C"}.,O l' <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />.R' W.R.E.C. <br /> <br />[J PLUMBING <br />[J MECHANICAL <br /> <br />$ <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />[J OTHER <br /> <br />VALUATION OF MECHANCIAL INSTALLATION/, ,6 <br />\ <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />o STEEL <br /> <br />% OTHER <br /> <br /> <br />YES ':la' NO <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE <br /> <br />//,,- <br /> <br />r-- C()~C.'1'02.:;':SEC'P:rON <br />L-,_::.,-"" "',':.' -:,.,,~-' :';';"'(-';',:;;;:":,d,,"'i:-'.:'.:,"'__'''':: ;._;. ,~;.:;>,.;,,~ <br /> <br /> <br /> <br />BUILDE~ JJ <br />-' '/ 0 <br />SIGNAT ~(9~. ~ <br /> <br />COMPANY <br /> <br />-'- / <br />STATE CERT OR REGIST #....~ !tf:)J/C-2>L/ <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN 4J /J rJq d I _ JOM~ANY t)l,U n~ <br />SIGNATURE~ dJ r~ ~ /t: g --&~E 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 REG 1ST # <br />