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<br />CITY OF ZEPHYRHILLS PERMIT APPLICA'I'ION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />5-J5~o5 <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME Al j c; A <br />JOB ADDRESS ~.b <j;'H <br /> <br />E. :3 fl R(; 1\ .- FeR t-Jc:.. /lIO"!& <br />3~b~~M~ou.)ccJ loof <br /> <br />PHONE <br /> <br />3'Sd-.- S h 7 - c,-/<g b <br /> <br />LEGAL DESCRIPTION: LOT (S) BLOCK SUBDIVISION J'Y)~wd <br />PARCEL ID # l~- d-6 - ~ 1- c> lL\o - 0000 a - o()$o (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />DADDITION <br /> <br />DALTERATION <br /> <br />D REPAIR <br /> <br />jl(INSTALL <br /> <br />D SIGN <br />PROPOSED USE: Uf:SGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />DMOVE <br /> <br />D DEMOLISH <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK Ricf l1\G(" P \'" Mb\ I\JS F i '( ( 'j;; ; fVj<.~ ) To', \ ..is <br /> <br />IJ ^ \1,1 \',5 <br /> <br />BUILDING SIZE SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FOBMS . <br /> <br />PERMITS REQUESTED <br /> <br />ZrSO <br />S- <br /> <br />D BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL <br />IH' PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />D Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D 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 />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY Bobbt \-L\1~1V CoN&t. :r.~(" <br />STATE CERT OR REGIST # j(p OG'd 7 0 $S <br /> <br />SIGNATURE ~ c./.;J;ti;... <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />, <br /> <br />JI. <br /> <br />It <br />