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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />B13-7BO-0020 FAX:B13-7BO-0021 <br /> <br />DATE RECEIVED <br />PHONE CONTACT FOR PERMITTING ~ 13 -7~ ~ - 9SdO <br /> <br />PHONE <br /> <br />OWNER'S NAME <br /> <br />,-~4(js.. P'-i V"\1R O~ <br />LOT (S) -#"~ g <6" <br /> <br />BLOCK <br /> <br />SUBDIVISION 6~ 'Point. <br /> <br />JOB ADDRESS ~ <br /> <br />LEGAL DESCRIPTION: <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />o SIGN <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br />o MOVE <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />OMULTI-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 />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~~~___ J;-J1~"1 <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 />o ELECTRICAL <br />~UMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o 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 AREAO YES 0 NO <br /> <br />'7"~T;.'.'i"'";'-~-=;-~ -..q-~- ~ "'7"~-----~'- .. ,~- - - - - - q ,-. . - -" -. ,. .-, -. ".. .-.' - "',- ., . '7Ur-,-""7 <br />i} il' e , , ;J, J'J ,;t: ., " ,', ' " , I , ' ,I' F '1 - I p'," , b'h:;,t:~.{'{~'{\;'Jl <br />~~J,'.'::~.:i:~_;:i~d ,:_!:~'.;;l.:~'.Ll,,::"..:,~.:_--~~;,..,- L:.' ...~..:._.__: ___ _ ___ __ _ __ _ __ ... - - . -~.. _'.L....:.....:.'':....:...:.......,,: _..:....,.i~~,S2~l.:::~' <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />PLUMBER <br /> <br />****************************************************************** <br /> <br /> <br />. . _. ' COMPANYDer"\NS L. Lu;I\l~ms~LlMb1t1 <br />~~Q...Lu~ STATE CERT OR REGIST # Q1='c..llf~5foO~ <br /> <br />SIGNATURE <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 />