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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 />,j -II-os <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME (J ~ I 141/l.- <br />JOB ADDRESS J S 2, I t3-<..A 71 LI"f-"-'"'- <br /> <br />PHONE <br /> <br />L cT 6 )' <br /> <br />,...... <br /> <br />SUBDIVISION €.h1 'V"-".IJ ;?D ItJ / <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />B MOBILE HOME <br />o OTHER <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />PA""/(. M c.J -( <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 />o BUILDING <br /> <br />$ <br /> <br />PERMITS REQUESTED ~L (HpV\l""- Fh~) <br />VALUATION OF TOTAL CONSTRUCTION fJd.--f- vJrpli I...V\:?L.I L <br />AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br /> <br />o ELECTRICAL <br /> <br />o PLUMBING <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 />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />~;=2~~~-~=: _:=~~~~j~Z=_~~:=~~~ ~~~_- __ -,- _ ~~ __ _' _ ~ _ _ ~__ ' ~ ~~.:-~._- ::.~-~~~~~~~~=~f;~_.~.~~~~.=:~~~~~:~~~~:~~~:;': .:j <br /> <br />BUILDER <br /> <br />COMPANY ~ <br /> <br />SIGNATURE t,..J~ <br /> <br />~J.;f <br /> <br />STATE CERT OR REGIST # <br /> <br />**************************************************************~*** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />~/l*J<:..J( <br /> <br />SIGNATURE <br /> <br />w~~4~ <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~~~~ <br /> <br />COMPANY B~ <br />STATE CERT OR REGIST # <br /> <br />PLUMBER <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br />COMPANY tJ t4,<-/l':' <br /> <br />SIGNATURE <br /> <br />LV c..,..---- ,t!J~ <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />