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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION ;2 -:2tl - 0 S <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br />pR~cRJ!1TtlltT SERVICE <br /> <br />PHONE CONTACT FOR PERMIT~~-824-7894 <br />Toll Free <br /> <br />OWNER'S NAME Ja.mt,J !{); j.(()/)q <br />. J <br />JOB ADDRESS :J 7<;0/ tuer/ttt WOdel f)r/ Jlf <br />v <br /> <br />LEGAL DESCRIPTION: LOT (S) 7~ BLOCK <br />PARCEL 10 # I ()-J-{P -J-/- O/Jd -()J(JJ.J-() 7tLO <br /> <br />PHONE <br /> <br />SUBDIVISION /Jver(j~a.Dfo! 110/XT" <br />.1/1- <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o SIGN <br />PROPOSED USE:)6SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />}i( ADDITION <br />o MOVE <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />o DEMOLISH <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 />DESCRIPTION OF WORK <br /> <br />/,()O/n <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />/1,/1 <br /> <br />HEIGHT <br /> <br />fJ BUILDING <br />o ELECTRICAL <br /> <br />~PE <br />$ 7,,,56.0/ _ VALUATION OF TOTAL CONSTRUCTION <br />____________ AMP SERVICE 0 Progress Energy 0 <br /> <br /> <br /> <br />& (1) SET ENERGY FORMS. <br />F01/' <br />, !O~ 0 u <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 />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 />BUILDER <br /> <br />COMPANY IJ tLjJl~ ALukl/)tlP1 <br /> <br />SIGNATURE <br /> <br />4i4-~ }-IL <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 />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />