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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 />PHONE CONTACT FOR PERMITTING <br /> <br />~:::~Je. PHONE~~~~~ <br />_ 'I Afi! ?f'phr/cb,/ Is~. ~ - - - ~ ,- <br />LEGAL DESCRIPTION: LOT (S) i../ ~ BLOCK SUBDIVISIONLlnGclf1 '1j~J..,J"') <br />PARCEL 10 # 1;2-~fn-2/-0.:J75CJ-()aO()O -Oy-:?(j (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPSED: ~EW CONSTRUCTION 0 ADDITION DALTERATION 0 REPAIR 0 INSTALL <br /> <br />O"NER'S NAME. ~CJS~ <br />JOB ADDRESS .3fl::t5.0 <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <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 JJ X <br /> <br />D RESTAURANT <br />enT. <br />_O,.;.rE IH2<f I Y'\ <br />5b <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />Cmr7~ 0 r proper~ _ <br />I . 5'V t- <br />SQUARE FOOTAGE t? \).., <br /> <br />HEIGHT <br /> <br />{.}I <br /> <br />DESCRIPTION OF WORK <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMf:.-. " <br />?~. ~~ dSU)("- <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />9(Jo~ <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 />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br /><<'OTHER <br /> <br />IS PROJECT IN nOOD ZONE AREAD YES ~O <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />" <br />BUILDER <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY <br /> <br />)frm\.l.. ?JW-r1.4.y <br />I <br /> <br />STATE CERT OR REGIST # <br /> <br />**********************~******************** <br />./ <br />/-_/~ <br /> <br />ELECTRICIAN <br /> <br />OR REGIST ~ <br /> <br />********************** <br /> <br />************************************ <br /> <br />\ <br />\ COMPANY <br />\ <br />\ <br />\ <br />S!ATE CERT OR REGIST # <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />S I <WJU!uRE <br /> <br />~- <br /> <br />********************************************* ******************* <br /> <br /> <br />* * ~.*'* * * * * * * * * * * * * * ** * * * * * * * ** * ** * ** * * * * * * * * ** * * * * * * ** ** * * * * * * * ** * <br /> <br />MECHANICAL <br /> <br />// <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />