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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 />2-~y!o~ <br /> <br />I <br /> <br />PHONE CONTACT FOR <br /> <br />P~~Cl31%RMIT StR\'ICE <br />1-866-824-7894 <br />Toll Free <br /> <br />OWNER'S NAME <br /> <br />Fre.tiurtLlt Frilz <br />J7S0tl till 4~ <br />liP <br />-3'/ -$ -~-o;tl() - <XJCkX) - j ftO <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />C;mAclJiJ//2/Yff ;/h-tJ- <br /> <br />PARCEL 10 # <br /> <br />{OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />~ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />PROPOSED USE:~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-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 />D RESTAURANT <br />CLr/c1 <br /> <br />& HEALTH DEPARTMENT APPROVAL <br />(j 14'.[;J' tu /11 tIotLX ~ --t' X iJ /;i74 <br />v . v <br />SQUARE FOOTAGE /~Or <br /> <br />cS~/l rc:KJ;r1 <br /> <br />BUILDING SIZE <br /> <br />IS' x I,). , <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 />PERMITS REQUESTED <br /> <br />Q7 .i~ <br />1 · <br />1j-.''::>:'' <br /> <br />()Lf) U. <br /> <br />.~; ~ ( <br />J~L- _ <br /> <br />~ BUILDING $ b.J/?fYJ VALUATION OF TOTAL CONSTRUCTION <br />. <br />0 ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br />0 PLUMBING ) <br />o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION ~. <br />o GAS o ROOFING o SPECIALTY 0 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 <br /> <br />IJ tl i/'f <br /> <br />.4tMt. Lc . <br /> <br />~r!4_J' : n.. /1 . <br />SIGNATURE t..---k. ~ fL <br /> <br />STATE CERT OR REGIST # <br /> <br />J..LECTRICIANf <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />. ~;sV L~ }-/[ <br /> <br />COMPANY <br /> <br />FIt<. s r <br /> <br />C(" )1> <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 I <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />