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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 89 St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IWO <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />~ \~ <br />OWNER'S NAME Q)' d \) 0 ; lA.J^.... <br />;,., ADDRESS '7 31'--1 /\<?' .. y" h. r <br />LEGAL DESCRIPTION: LO~ (S) I CS"l 0 BLOCK VO 00 D <br />PARCEL ID # 35 -as~a.I. ODSA. ()f)fYlX)-/SI/-O <br /> <br />PHONE 813-/80 ,/3S'O <br /> <br />SUBDIVISION 00S:,4 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE} <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />, OSIGN <br /> <br />o ADDITION <br />. 0 MOVE <br /> <br />OALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />[J* OF UNITS <br />[J SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF lIOIlK 0.10 D ~ - ^-C>Cb <br />BUILDING SIZE 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 />[J BUILDING <br /> <br />$ 7.7 Dd-. VO <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[J ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />[J W.R.E.C. <br /> <br />[J, PLUMBING <br /> <br />I ' <br />[J MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />[J OTHER <br /> <br />o GAS ,0 ROOFING 0 SPECIALTY <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 />I . - CONTRAcmoR~smcTION <br />' BUILDER ..', .... ,-,.' '. ," 'L~:p~ ~ ~'~(~. k L <br /> <br />SIGNATURE ~ 4A _ STATE CERT OR REGIST # ccCtJS8/.Jy <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 />