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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 /> <br />Ji- f- () 5- <br /> <br />PHONE CONTACT FOR PERMITTING ./.r.z-.f?/..I. 71s <br /> <br />OWNER'S NAME <br /> <br />//1#~) tC.yAJ /J?r- ~if~7! <br />/r-~ Jr- <br />. <br /> <br />6 <br />/'1- ').6 ~ )-1- OC>/O 0)..).00 <br /> <br />PHONE <br /> <br />71:7 ,9t:;.:J/ <br /> <br />JOB ADDRESS <br /> <br />~?/9 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK 1-2.- <br />c::>06"O <br /> <br />SUBDIVISION <br /> <br />;fel/)" ~ <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPEJ3,TY TAX NOTICE) <br /> <br />WORK PROPSED: []NEW CONSTRUCTION ~ADDITION <br /> <br />[]ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br />PROPOSED USE: 0 SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />[] INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />):Q OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />~~ <br />9-~ ~ ~J <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />~/ r,)'n.,q ;/./00 L <br /> <br />--J <br /> <br />SQUARE FOOTAGE /7-0 y <br /> <br />" <br />HEIGHT '7 <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMI'l' ONLY (2) SETS OF' ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />;, ,~~r~ <br />/D). <br /> <br />o BUILDING <br /> <br />$ <br /> <br />7~fO~ <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />,$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING $SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF' CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />J2g OTHER /f/v~ <br /> <br />FINISHED F'LOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />L_..._---.:______.__________ <br /> <br />BUlLOE~ <br />SIGNA1 <br /> <br />QQN'J:M~>>~Uel'mQN <br />'''.....".U::P::.~-ty ~.., <br /> <br />STATE CERT OR REGIST # /2..)cOOjY~/ <br /> <br />~ <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 />MECHANICAL <br /> <br />*********************************************************,.******** <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 />