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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 />'J/zz/o,/ <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />JOB ADDRESS . ...s.....8S~ <br /> <br />J2A ;'/It/1-tJ / S,/ ",;, <br />6/f~L /3~l/d. <br /> <br />PHONE ~ 1- 'gOlf- 7Jf!;.7 <br />- . <br /> <br />.Lh~j, '1/2. ),.'1.L5 ;=z 33.51"0 <br />/ / <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID * <br />WORK PROPSED: )61EW CONSTRUCTION <br />OSIGN <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: 0 SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-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 /> <br />DESCRIPTION OF WORK ~//f-.J-L, ~ 1'- /)C ~O b A- ~ .J5 1* tt:/ 6,<) n t <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 />1/ <br /> <br />'" <br />/0';. ~--' <br /> <br />...,,~ <br />/, <br /> <br />~ - <br /> <br />o BUILDING <br /> <br />$ 61/3;"<>0 <'> . <br /> <br />PERMITS REQUESTED <br /> <br />t' l'o <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br /> AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br />$ VALUATION OF MECHANCIAL INSTALLATI01 + 1, ~1 0 <br />o SPECIALTY 0 <br />OTHER / <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <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 />STATE CERT OR REGIST * Cg~ as'{j/I ;J- <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br /> <br />ELECTRIC~ ~~ COMPANY /Jft/IJ jf.}.,,-<<M.Y __ <br />SIGNATURE STATE CERT OR REGIST * 5' C ObCJ ifF! S <br /> <br />******************************************************k*********** <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 />