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<br />A;r fbo L- <br />r,T1f~ <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 ..3 _ I ~ _ oS <br />DATE RECE IVED / I <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME J 7;=-"'/J <br />JOB ADDRESS ..rcPJ.J' <br /> <br />..J'rrAt>kA <br /> <br />PHONE <br /> <br />/ ;;J --d ...r r <br /> <br />LEGAL DESCRIPTION: LOT(S)CP~~~7 BLOCK <br />PARCEL ID # / I -26-..2/ - CJoIO ~d)')oo ""0070 <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTTCF.) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[J SIGN <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />~ ADDITION <br />[J MOVE <br /> <br />[JALTERATION <br /> <br />[JREPAIR <br /> <br />[J INSTALL <br /> <br />[J DEMOLISH <br /> <br />(]MULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />(] # OF UNITS <br />[J SWIMMING POOL <br /> <br />(] MOBILE HOME <br />[J OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />SCR~ <br /> <br />C)l7Sfi'"1t Go <br /> <br />~cL <br /> <br />BUILDING SIZE <br /> <br />1).)/;< S/'6C?/ <br /> <br />SQUARE FOOTAGE <br /> <br />~?o <br /> <br />HEIGHT t?' <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 />- u-~ <br /><7'7, <br /> <br />;'3l}) ~ . <br /> <br />PERMITS REQUESTED <br /> <br />)!f BUILDING <br />[J ELECTRICAL <br /> <br />$ <br /> <br />379o~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />(] FLORIDA POWER <br /> <br />[J <br /> <br />W.R.E.C. <br /> <br />[J PLUMBING <br />[J MECHANICAL <br /> <br />$ <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: (] BLOCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />~ OTHER AL.u""" - r'~ <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES [J NO <br /> <br />I 9()N~Q~:E(';l~.9'I'*9~ <br />BUILDER Rt::X ~/67 ...... COMPANY ,~~ ~IW <br />SIGNAT~ STATE CERT OR REGIST # ~YOO.21'2?1 <br /> <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REG 1ST # <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 />