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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 />9/zz/~v <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PJ"jUA,N} sj~t, <br />SgSs 61'1-/' L /y,-,~, ZIf.tJJ v/Z J,,'LL<;' <br />/ / <br />BLOCK SUBDIVISION <br /> <br />PHONE <br /> <br />90~ -'l?tiJ-y- J~~-7 <br />/t. 33 5YO <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br /> (OBTAIN FROM PROPERTY TAX NOTICE) <br />o ADDITION DALTERATION o REPAIR o INSTALL <br />o MOVE 0 DEMOLISH <br />DMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br />o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />PARCEL 10 # <br />WORK PROPSED~EW CONSTRUCTION <br />o SIGN <br /> <br />DESCRIPTION OF WORK <br /> <br />D <br />-:z;;; hI--? L <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />UP~~oJtdVtd fi;1L~ ~I! J2-L'Nn 5 <br /><./ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 />FORMS. <br /> <br />'31 z :~~ I~\)G.. . <br /> <br />,.kVBUILDING <br />o ELECTRICAL <br /> <br />t/ PERMITS REQUESTED <br />..-::; d~" 00 <br />$ ~ ~ VALUATION OF TOTAL CONSTRUCTION <br /> <br />':.> <br />S0.~ ~. <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <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 /> <br />SIGNATURE <br /> <br />~ <br /> <br />COMPANY <br /> <br />BUILDER <br /> <br />STATE CERT OR REGIST # tC-15G L? >tJl/~ <br /> <br />****************************************************************** <br /> <br />STATE CERT OR <br /> <br />/!JV /# /lk.c. ;;?<c L <br />:EGIST # fr"L: tlooc;.8/ S- <br /> <br />ELECTRICIAN~ <br />SIGNATURE <br /> <br />COMPANY <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 />