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<br />CITY OF ZEPHYRHILLS PERMIT APPLICA'J.'.lUl'i <br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED, <br />PHONE CONTACT FOR PERMITTING ~ qc;<ty- <br /> <br />OWNER'S NAME /V\A-'1"ES~'C-. OA kS ~ U <br />JOB ADDRESS ''3Q 5 2..~ \...2tl~_L.~~.-.c'\. <br /> <br />PHONE <br /> <br />"va <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL 10 # ~-;) {P- ~ I-CX>oo <br />WORK PROPSED: ~ONSTRUCTION <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />, C:>OICO - 0070 <br /> <br />(OBTAIN FROM PROPERTY <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />BUILDING SIZE <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPRdvAL <br />,/~ X So ~/Ve ~ <br />SQUARE FOOTAGE ~~ <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENE <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 />o BUILDING <br /> <br />PERMITS REQUESTED <br />;I~~l?'C>o VALUATION OF TOTAL CONSTRUCTION <br /> <br />$ <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W. R.E <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />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: 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 ARE:AD Y <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 <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />OTHER C C1Vt {..~+~ <br />SIGNATUR:-<<'" ~~ <br /> <br />****************************************************************~ <br /> <br /> <br />COMPAN~DX;I b CO)1c~~ <br /> <br />STATE CERT OR REGIST # ~~~ <br />