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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 RECE IVED <br /> <br />OWN ER' S NAME ~ \111 E' l <>... C ct "vi e ,., 0 <br />JOB ADDRESS S-Z-. S g (b ~~ ~. <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />PHONE ~g(g- tgo C(C(S (; <br />~L <br /> <br />LEGAL DESCRIPTION: LOT(S) ILl '\ IY BLOCK <br />PARCEL ID # .-Jl.~1 00 (0 t l q vo 0 l L 0 <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION o ADDITION DALTERATION ~RE:PAIR o INSTALL <br /> Os I GN o MOVE 0 DEMOLISH <br />PROPOSED USE: -e!SGL FAMILY DWELLING DMtJLTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERC IAL o INDUSTRIAL DSWIMMING POOL o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~Qc- '" ~ / ct '7 i, / r"S 1.,..... 91 .f:. <br />SQUARE FOOTAGE 16 ~ ~ <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <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 />VALUATION OF TOTAL CONSTRUCTION <br /> <br />Lf:213 <br /> <br />!2(BUILDING <br /> <br />$ <br /> <br />3oCJO ~..:::- <br /> <br />PERMITS REQUESTED <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 />o GAS ~OFING 0 SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 />InNISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE MEAD YES 0 NO <br /> <br /> <br />BUILDER <br /> <br /> <br />COMPANY <br /> <br />,~ ~(~ eo~;,~f7sk..,~2 <br />OR REGIST # (C'C r 3 2Sg8, <br /> <br />SIGNATURE <br /> <br />STATE CERT <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 />