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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 />,Y3/0 S" <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />{-I- f-< )JBYP <br />;{ (JrJ )" rire e r <br /> <br />LEGAL DESCRIPTION: LOT (S) I r3 -.;z, B BLOCK <br />PARCEL ID # 17- -')..&.:> 7../0D ').000 )OD D J B () <br /> <br />F<.D bev T <br />S 3 '-/ Co <br /> <br />PHONE '313- 7 &>3-'}' 35' <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION y'NCrL lAIC 5 <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />D ADDITION <br /> <br />(ORTAIN FROM PROPF.RTY TAX NOTICE) <br />DALTERATION ~REPAIR ~NSTALL <br /> <br />DSIGN D MOVE 0 DEMOLISH <br />PROPOSED USE:J2f;GL FAMILY DWELLING DMULTI-FAMILY D# OF UNITS D MOBILE HOME <br />o COMMERCIAL D INDUSTRIAL D SWIMMING P~fL D OTHER <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL '1{ -3<5"', ~ v gL"DG. <br />DESCRIPTION OF WORK f? e P/f/~ + Re fLit ( e iN i IV DO t.c.J-5 <br />QC X ",C' <br />BUILDING SIZE d.'::l. ~ v <br /> <br />8'7 S- <br /> <br />;' <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />8 <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 />D BUILDING <br />o ELECTRICAL <br /> <br />cJU <br />$ gcJb;- <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />D PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />J;t( FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />I S PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />~~~ci~~~~~~:~~~.~ <br /> <br />SIGNATURE <br /> <br />~tf~ <br /> <br />COMPANY <br /> <br /> <br />BUILDER <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 />