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<br />CITY OF ZEPHYRHILLS PERMIT APPLICA'l'iUJ.\1 <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DA'fE RECEl lVED <br />PHONE CONTACT FOR PERMI~"rIN~CJ5 -CjCj78 <br /> <br />OWNER' S NAM~lA-:T PSTJC <br />JOB ADDRESS '3 9' 55"D <br /> <br />OA-kS' It( <br />I ;...., IJ /"'Ii <br />, 1~...LA/lq. y-waC-,-- <br /> <br />PHONE <br /> <br />A~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID #-;;)4--d b --~ I-~ - L):;JIIY) -- 12:)90lOBTAIN FRON PROPERTY <br /> <br />WORK PROPSED: ~CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />DSIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <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 RES'fAURANT <br /> <br />/~ X..sU <br /> <br />& HEALTH DEPARTMENT APPRdvAL <br /> <br />~/'ve4h:~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE ~c) <br /> <br />H1~IGHT <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 />$ / Ct:JO, 6>47 <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 AREAD Y <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIS'!' # <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 />****************************************************************} <br /> <br />OTHER COYlCll-e-t-~ <br />SIGNATURE ~ ~~ <br />, <br /> <br />COMPANY es-c,/k Co?K:i&?~ <br /> <br />. <br /> <br />STATE CERT OR REGIST #~-~~~ <br />