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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 />l"'OM <br />PHONE CONTACT FOR PERMITTING (<2.\~) 'l'6~,ooq \ <br /> <br />OWNER'S NAME Ad QfY\ I::; i\bi:) UA \ <br />JOB ADDRESS ~O~, ?cvk 1)(\JP <br /> <br />~~()qdl-1 <br />'Z-fV\\ i(V\'\l::, <br /> <br />PHONE <br /> <br />k-. <br /> <br />,?>~~'-t ~ <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID # 1~-;),Io-cl.\-DD6U~aOIOO-'0030 <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[J SIGN <br />PROPOSED USE: ~SGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />o ADDITION <br />[JMOVE <br /> <br />~ALTERATION <br />o DEMOLISH <br /> <br />[J REPAIR <br /> <br />o INSTALL <br /> <br />DMULT I - FAMI L Y <br />[] INDUSTRIAL <br /> <br />0# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[J OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK Up~(a.(lr S.eI\l;( D -in aoo u.rnpo <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 />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />RJ ELEc'rRICAL <br /> <br />aOO <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W,R.E,C, <br /> <br />[J PLUMBING <br />tJ MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />[J FRAME <br /> <br />o STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />L <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE \(,Lt~~~ ~ ~ <br /> <br />COMPANY 'Reese... SI edT\ ( cd IAc.... . <br />l~j <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 />