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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 J :1 . <br />813-780-0020 FAX: 813-780-0021 .-J. ~-O 5 <br />DATE RECEIVED \ - t:- <br />..I()o,,'1 ~(,.""' <br />PHONE CONTACT FOR PElOaTTING ~ <br /> <br />OWNER'S NAME <br />f1 f:;t'1 <br />J6B ADDRESS <br /> <br /> <br />1 <br /> <br />LEGAL DESCRIPTION: LOT BLOCK SUBDIVISION <br /> <br /> <br />PARCEL ID # -tJO{'\~ ~~"'" 01\ fe.r- / (OBTAIN FROM PROPF.RTY TAX NOTTCF.l <br /> <br /> <br />WORK PROPSED: DNEW CONSTRUCTION D ADDITION ~TERATION D REPAIR D INSTALL <br /> <br />D SIGN <br /> <br />DMOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br /> <br />D MOBILE HOME <br /> <br />o SWIMMING <br /> <br />POOL 0 OTHER <br /> <br />~~\ ~~t <br /> <br />DESCRIPTIp~ OF WORK <br /> <br />Bu~'t'R~ D <br /> <br />l () m.. \ <br />RESIDENTIAL: ATTA (~) 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 />SQUARE FOOTAGE ~~~~ ~.~ <br /> <br />HEIGHT ~) <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br />150, ~t- <br />3"- ~ <br />,)' <br /> <br />fi) u5>G . <br />eXec <br /> <br />~ILDING <br />~LECTRICAL <br /> <br />PERMITS REQUESTED <br />$~~LUATION OF TOTAL CONSTRUCTION <br />---l 00 AMP SERVICE 0 Progress Energy D <br /> <br />I 8'5 ' f?O <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />D GAS <br /> <br />D ROOFING D SPECYLTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: IriLOCK 0 FRAME <br /> <br />FINISHED FLOOR ELEVATIONS ~~,~~:~ <br /> <br />D STEEL <br /> <br />o OTHER <br /> <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br />BUILDER <br /> <br />a__,.._tOll I <br />COMPANY -!till"?' ~S ~ ( () . the. <br /> <br /> <br />STATE CERT OR REG 1ST # <br /> <br />* ** * *(l* * * * * *:::::::* * * * *(;;;J** c (~~**i(e ( <br /> <br /> <br />--.~- <br /> <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 />