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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATiUN <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECE IVED . <br />PHONE CONTACT FOR PERMITTING~-~ <br /> <br />OWNER'S NAME 1tJ ;q-'J'Ey'r;'c.- 0/11'/;:5" I>-/V1. <br />JOB ADDRESS 396'33 Udd~ <br /> <br />PHONE <br /> <br />)~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # 'd4--;J.& .~;;11- 0000 .- OOIO(!) - POC/CP <br />WORK PROPSED: ~ CONSTRUCTION o ADDITION <br /> <br />(OBTAIN FROM PROPERTY <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 />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT <br />/' ..z ,)C 5'tt:? <br /> <br />& HEALTH DEPARTMENT APPRdvAL <br /> <br />~/V.e .;V~~~ <br />, . <br /> <br />SQUARE FOOTAGE ~ <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <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 />$ / 'o,,~c>o <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W. R.E <br /> <br />o PLUMBING <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 ): <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 />************************************************************,k**** <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 />SIGNATURE <br /> <br />STATE CERT OR REGIST # ________ <br /> <br />****************************************************************' <br /> <br />OTHER >-~~. <br />-;> ~ <br />SIGNATURV --~ .. <;b~ <br /> <br />COMPANY~Y-,l~J ~~ <br /> <br />" <br />STATE CERT OR REGIST <br /> <br /># Z-- H'//,6- <br />-- <br />