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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 i' - <br />DATE RECEIVED' OJ <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME Zedt\.r f2.h:ll S> fJr.nIL.pS>.~ <br />JOB ADDRESS 2A4sD ~CVn+ AJ/2 <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br />o ALTERATION 0 REPAIR :9lINSTALL <br />o DEMOLISH <br /> <br />PARCEL ID # <br /> <br />DSIGN <br /> <br />o MOVE <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 />,J(OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK J:.V\."V-r-4u..o-\:J (-3') 4n' ~~ ~, Lt1l ~ k+S <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <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 />~A,.~ Covt~rlk7af~ <br />VALUATION OF TOTAL CONSTRUCTION tI (;,z.C-.\\ <br /> <br />o BUILDING <br />')LELECTRI CAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br /> AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br />$ VALUATION OF MECHANCIAL INSTALLATION ~g(? <br />o SPECIALTY 0 /- <br />OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAo YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />COMPANY ~/;M~ S <br /> <br />E.~LEcrI2../,-- 6'71/1ML/ k. <br />I <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br /> <br />STATE CERT OR REGIST # l?C.! 3CJO 1St ~ <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 />