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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 />j-h.~ /{)'i <br /> <br />, . <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br /> <br />OWNER'S NAME~!( A(as;~ ,kL PHONE gI3-2'.;)-O:i'~ <br />JOB ADDRESS 61 ~g ,?-b/:~) 2~~j~{ 3f;StjL-:>-- <br />LEGAL DESCRIPTION: LOT(S) [)0 sot) BLOCKtJD300 SUBDIVISION yU/O <br />PARCEL ID # 117:21o-:JI _iDD-0Q3cD.6D68 <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />IJ/'Jiz-+-e-:~B~A:;: 1:: IP'lDJE~TZJr NOTICE) <br />D ADDITION DALTERATION D REPAIR D INSTALL <br /> <br />DSIGN <br /> <br />D MOVE <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />o MOBILE HOME <br />~R <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~ n-+er('O /' ~u. '( {cP - D<.J <br /> <br />, <br /> <br />BUILDING SIZE <br /> <br />- <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 CDNSTRUCTIDN~ L(~ 1" I <br /> <br /> <br />PERMITS REQUESTED <br /> <br />tE]'BUILDING <br />trELECTRICAL <br /> <br />$ 05 a:f)roO <br />. <br /> <br />AI!;. h~~ AMP <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />SERVICE <br /> <br />D Progress Energy 0 <br /> <br />W.R,E,C, <br /> <br />o PLUMBING <br />- <br />I~ECHANICAL <br /> <br />$ '7t 000 ( cD 0 VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: D 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 0 NO <br /> <br /> <br />BUILDER <br /> <br />STATE CERT OR REGIST # <br /> <br />ELECTRIClp~j1 <br />SIGNATURE <br />*\J;~************:^~*~******************************************* <br />~ 1 p-S fpr~ ~LL- i)..' ~' <br />PLUMBER ~ . '" , !'- COMPANY.' e11I't-15 &(///~4-~ <br />SIGNATURE <br /> <br />COMPANY~~ &e.c~ rl'L..- <br />STATE CERT OR REGIST # U J3CEJ/ .:$ 83 <br /> <br />SIGNATUR <br /> <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />STATE CERT <br /> <br />***************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />,.- <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />