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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 />d-;l/-D5 <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME~rn~ <br />JOB ADDBESS J 0 'fA QC> '*' =l- C-- ~ <br />LEGAL DESCRI ~T!;.DJ'.it. t'::}l ~ Om~5YOO _ ~~~ } SUBDIVIS ION <br />PARCEL 10 # 1t,-l fo-~- Dn::5'O-o3Y;cr:. - i>oCl{ <br />-..:t.~ -d( -O/D'O- O,3';;C'D~ <br />WORK PROPSED: ONEW CONSTRUCTION 0 ADDITION o ALTERATION <br /> <br />PHONE ff8-7~~-€) fOl.S' <br /> <br />0/(1) <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL 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 />~R <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK&--{,('UL<fi,# ~ g J +'rl,,- ~ ~ <br />BUILDING SIZE -- SQUARE FOOTAGE m. 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 />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <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 />iW~~~~i~rr~~' '_mmm ,m -~ m .. - -, -, ,- --k;~~,Ii~~t~I=-,~~~;,~~~~~Y:~fl~~;i)(liir'Jr.~I' <br />~~~~~;ltfk~~~l___~_~~~-- __ _____d_ __~~_ .~~~~~~1!~!,jl*~Ti"F!io~AAYjt~~\1t~i~lo:t"4"'j~,~ ~~'~n1lJ <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <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 />~:~~::Nt;:;;;;::;E;;:;~ii~~ &.- <br /> <br />STATE CERT OR REGIST C~tl!.S: /3 f- <br /> <br />SIGNATU <br /> <br /> <br />OTHER <br />