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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 lVED <br /> <br />d - 12-tJ:>- <br /> <br />PHONE CONTACT FOR PERMITTING 352. ..Lfr2'1~,,1 /'is'" <br /> <br />OWNER'S NAME h&-DLBU'0tG JdlS€R. <br />JOB ADDRESS 315Ljg ,L/JtI/J)/S /Jnx. <br />LEGAL DESCRIPTION: LOT (S) qq BLOCK <br />PARCEL ID # 31 ~:z.5 -J-/ ~ OO?.J~ ()Oo()(J--' OCj(l 0 <br /> <br />PHONE ?/3~ 7rJ'i-tJ'-/63 <br /> <br />~:e.fhirhi Jls- J ~ 3'3S-fJ <br />SUBDIVISION c;~JfO~t~ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: <br /> <br />~EW CONSTRUCTION <br />'DeQ(. <br />OSIGN <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: 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 />j4 OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK 6~a> PRu=>SwtfF 7li.6-7fl15j) D8CK I. D.,( '20 / <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />" BUILDING <br /> <br />I PERMITS REQUESTED <br />~DOQ~ VALUATION OF TOTAL CONSTRUCTION <br />I <br /> <br />& (l)~ET ENERGY FORMS. <br />FORMS <br />-tV <br />07. ~ f~' <br />P 3tt1 <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 />$ <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 />~ P'''' <br />blJ FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES ~O <br /> <br /> <br />SIGNATURE <br /> <br />~(~ <br /> <br />COMPANY <br /> <br />BUILDER <br /> <br />STATE CERT OR REGIST <br /> <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 />