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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 />'!'/~0s <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME ~ o--re... ~ r~k.. <br />JOB ADDRESS - ilc>q'-l p~ i1j--.--ttf:& <br />LEGAL DESCRIPTION: LOT(S) ~/~ BLOCK ~cr~ SUBDIVISION ~~~ <br />PARCEL ID # D~ -~l.o._.;LJ - DOlO -01:>8dJ. DoI,,;:)..--IOBTATN FROM PROPERTY TAX NOTICE) <br /> <br />PHONE 8/3,-7g..:;-{),f'~ <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br /> <br />o REPAIR 0 INSTALL <br />':::> - _...J-- <br />":!::> iLl feR. ~ <br />o MOBILE HOME <br /> <br />o SWIMMING POOL ~HER <br />:P"-O.fi :eJJJ'o' <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />~+e-r;or 5LLl-(J-O~~ <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 />9-'tLECTRICAL <br /> <br />h> <br />$ 15; DDD <br />~. " . <br />/t' S'..4-t ~ AMP <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br /> <br />PERMITS REQUESTED <br /> <br />~~ING <br /> <br />SERVICE <br /> <br />~ogress Energy [J <br /> <br />W.R.E.C. <br /> <br />o ROOFING <br /> <br />~ <br />$ ~J5DD <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br /> <br />D-1'LUMBING <br />~CHANICAL <br /> <br />o GAS <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 /> <br />SIGNATURE <br /> <br />-Ai <br />STATE CERT OR REGIST # (C~C1.- /~ 5D91'i <br /> <br />BUILDER <br /> <br />ELECTRICIAN ~COMPANy~{Lr+-w... &~ ,,," <br />SIGNATURE , - . , STATE CERT OR REGIST # e-c.. ISDO/-$<?.3 <br />****************************************************************** <br /> <br />***************************************************** <br /> <br />SIGNATURE <br /> <br /> <br />COMPAN~~~..s. t--, Wl dl(~ <br />STATE CERT OR REGIST # ~/'i~S I€O":;" <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />~ <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br />~ C~HH'H <br /> <br />.----_. <br /> <br />**************************************************** <br /> <br />COMPANY <br /> <br />- <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST I <br />