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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL ]3542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER' S NAM~C5hT \, a \.c t[~ ,,- <br />JOB ADDRESS~ D t-/1-1 c.JAatA(~e.yf(rl. <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />PHONE <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />[] ALTERAT ION <br /> <br />[] REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />[] MOVE <br /> <br />[] DEMOLISH <br /> <br />PROPOSED USE: []SGL FAMILY DWELLING <br />~MMERCIAL <br /> <br />[]MULTI-FAMILY <br />[] INDUSTRIAL <br /> <br />m# OF UNITS <br />[] SWIMMING POOL <br /> <br />[] MOBILE HOME <br />[] OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK p,.;-h:t.ll Ce.v1+r"tl A/0 lA/i'*' diJ{j-i-VOI'l-'\ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />~60 St <br /> <br />p+, HEIGHT <br /> <br />& (l)J4ET E~ERGY FORMS, <br />FORM~5. (.Cj J1;1$ft <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 PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED, <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, <br /> <br />PERMITS REQUESTED <br /> <br />~? \ ... ~ 11 if <br />-J (c.-\l <br /> <br />tf(I, .Jf. <br /> <br />0 BUILDING $ 2,3QC.CD VALUATION OF TOTAL CONSTRUCTION <br />0 ELECTRICAL AMP SERVICE 0 Progress Energy [] W,R.E.C, <br />~UMBING <br /> MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />[] GAS [] ROOFING [] SPECIALTY [] OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />[] FRAME <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <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 />*******************************************************k********** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY iA)#:k~5 fh'/~ {0f1JJ. ~'\.'l , <br />/ru~A... ,I ;/}...JJ 'L:: STATE CERT OR REGIST i (A-< ,0 $:7033 <br /> <br /> <br />. *************** ************************************************* <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />