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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 eTH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 1/ <br />DATE RECEIVED /a.-/f;,--/J7 . . <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />Phj/l~p C $rn.,y, Jr: <br />3 W3 '-f La;;;;;'d a.. 1.-00 p <br /> <br />PHONE (go 13) ~1 q - at);):? <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL ID # 1LJ--db-aJ-Olft:'O-OOOOO-OU::;O (OBTAIN FROM PROPERry TAX NOTICE) <br />WORK PROPSED: DNEW CONSTRUCTION 0 ADDITION ~TERATION 0 REPAIR 0 INSTALL <br /> <br />DS)>iN <br />PROPOSED USE: ~GL FAMILY DWELLING <br />o COMMERCIAJJ <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~-:f ruct A It LiNt <br /> <br />SQUARE FOOTAGE <br /> <br />DESCRIPTION OF WORK <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PlANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED, <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.~ '11 <br />~, <br /> <br />,,.,......~-~. <br />./" <br /> <br />o PLUMBING <br />~ECHANICAL <br /> <br />$ <br /> <br />;) l-/ 30. oD <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />pBdwe1S JO PB1UTJd JpBd~1 BweN <br /> <br />pBdwe1S JO PS1UTJd 'pBd~1 aweN <br /> <br />1uBw6pBTMou~~e 6uT~E~ uosJad JO aJo~Eu6TS <br /> <br />~uawB6pBTMOU~~E 6uT~e~ uosJad JO BJ01EU6TS <br /> <br />lr:leo ue s){el :lOU PTP[] PTPD Ol{M pue <br />(uoTlenTJTlu8PT JO 8d~1) <br />pB0opoJd self 04MD <br /> <br />. llleo ue a)(l'''l 10U PTPD PTP OOl(M pUE <br />(uoTle0TJTluaPT JO ad~l) <br />pannpoJd self OllM 0 <br /> <br />JO Jaw 01 UMOU~ ~TTeUOSJBd sT 04~ <br />(pB6paTMou~~E UOSJ8d JO 8weu) <br />~q <br />- OZ J JO Aep- s11..j~ 8W 8JOJ8S <br />pB6paTMou~0e seM 1uaWnJ1SUr 6UT06aJoJ aq~ <br /> <br />JO 'aw 01 UMOU){ ~TTeUOsJ8d s1 04MD <br />(pB6pBTMou~~e uosJad JO aWEU) <br />~q <br />-0<: ' JO ~ep - s141 BW BJOJBS <br />pa6pBTMOU~0e seM ~UBWnJ~SUT 6UT06BJOJ BU~ <br />