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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 <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />,--, <br /> <br />OWNER'S NAME ( /;1i:f?1 ES <br />JOB ADDRESS -'5-~"'}-5- <br /> <br />;;;;72E f) (;......5 <br />7.L8, s-r:- ;;;? EP/,; Y/f HILLS:, <br /> <br />PHONE <br /> <br />g--J3. /8'3' -3bOJ' <br /> <br />F~, <br />. <br /> <br />WORK PROPSED: oNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />/:{o SUBDIVISION P J? I ~A q:..13 ,':7-'1 <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br />~LTERATION 0 REPAIR 0 INSTALL <br /> <br />LEGAL DESCRIPTION: LOT (S) I ~ :l.... BLOCK <br />PARCEL 10 # i ( ;J"h;),/ OOiO I;J..OOO 0010 <br /> <br />oSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: 0 SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />oMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />,.) , <br />( ~h.A0;:' ;-= <br /> <br />tJ ~l/ <br /> <br />, A - <br />/tJc' /7'//?/P ..j~:;?V:CE /G' ~:D4MP <br /> <br />SQUARE FOOTAGE ?It 1'11: <br /> <br />1>-94/':;=,<, 4?E12~iX.rYCfV' <br />/!1,4.J,")'/ <br />HEIGHT / S'~,;.> Y <br /> <br />BUILDING SIZE <br /> <br />3~..( ~ 'I <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 />~ELECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />0<00 <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br />~RAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES rlNO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN "1 / /~ COMPANY <br />SIGNATURE ~L . ~ STATE CERT OR REGIST # <br />~ --'. <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 />