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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 />PEE;JLE S <br /> <br />ZEfJ/I 'I~!lI( (. 5 <br /> <br />LEGAL DESCRIPTION: LOT(S) / 0/- J...... BLOCK 'X <br /> <br />PARCEL 10 # II -J fR -~ ( - 0010 "- OO~DO - 6;0/0 <br /> <br />OWNER'S NAME <br /> <br />//E L rs ol\J 6 <br />3g13~ /~f-~ <br /> <br />~vk.. <br /> <br />PHONE <6/3- j gJ.. - ~o <IF; <br />F L ~ ~s-4:z... <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />~EPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br />PROPOSED USE:~GL FAMILY DWELLING <br />o COMMERCIAL <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 />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK jJ-€~/i IT S't, /:V ({ If ~ Q) f { t-/ 1.)J.- i' Ie ".4 v J <br />BUILDING SIZE C/t( X ;J.. .J <br /> <br />SQUARE FOOTAGE <br /> <br />/54/L.j <br /> <br />HEIGHT <br /> <br />?;-I'f- <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 />o BUILDING <br /> <br />$ <br /> <br />-1~' <br /> <br />PERMITS REQUESTED <br />(J-i) <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 />o MECHANICAL $ <br />o GAS )taOOFING 0 SPECIALTY <br />TYPE OF CONSTRUCTION: ~BLOCK <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />Dl <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES A,NO <br /> <br /> <br />BUIIDER ~ ~ <br />SIGNATURE . ~. <br /> <br />COMPANY <br /> <br />~[J~ <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 />