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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 -5 ~ /. <br />DATE RECEIVED ,//p/ ~ s <br />EA.seD PERMIT SERVICE <br />PHONE CONTACT FOR PERMITf..~ &24-7894 <br /> <br />Toll Free <br /> <br />OWNER'S NAME <br /> <br />l? aJpiJ j/rJJr/6-f) <br />JCjl/7 Ptt,r./Ie f)/l/,;t <br />J <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION tlJU'/ll/c!'/b;tie ~ t/ <br /> <br />LEGAL DESCRIPTION: LOT (S) 3()() <br />.J.-tj - rJ-/P -,))- 0 (j,j<1 ~ aJ(JeKJ - 3roJ <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br />o SIGN <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: 3GL 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 />~OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />L/J.J)Cc/ IJ Y3~ <br /> <br />BUILDING SIZE <br /> <br />J~J-J~ <br /> <br />SQUARE FOOTAGE <br /> <br />.J f!j , <br /> <br />HEIGHT <br /> <br />/0 / <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 />270, <br /> <br />'\ <br />~"'-ol <br /> <br />()Lf)f:: <br /> <br />PERMITS REQUESTED <br /> <br />'f/J. BUILDING $ 02 ~ s-00 . ()J <br /> VALUATION OF TOTAL CONSTRUCTION <br />o ELECTRICAL AMP SERVICE 0 Progress Energy 0 <br />o PLUMBING <br />o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />o GAS o ROOFING o SPECIALTY 0 OTHER <br /> <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 />SIGNATURE <br /> <br />U,(~~( <br /> <br />COMPANY :rr'[e_D~(f~ 0 ~4 <br />STATE CERT OR REGIST # <br /> <br />All.L-W-- . <br /> <br />BUILDER <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 />