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<br />CITY OF ZEPHYRHILLS PERMIT APPLICA~iU~ <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />mItJEST/C- ()J4!<S <br />"3~41 . j]O~cf.c <br /> <br />121u <br />Q~~d <br />- <br /> <br />PHONE 0q5 ~9 g <br />D1~ <br /> <br />********************~ <br /> <br />~C~~ <br /> <br />STATE CERT OR REGIST # ~-~/~~ <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID #;;:z 4.- - ~- ~ I - 0000 - I!Jo j,p(j - ~()~O (OBTAIN FROM PROPERTY <br />WORK PROPSED: ~ CONSTRUCTION 0 ADDITION DALTERATION 0 REPAIR <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: oSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />oSWIMMING POOL <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPRdvAL <br /> <br />/c2 y 50 <br /> <br />BUILDING SIZE <br /> <br />SQUARE <br /> <br />~ "U~Wtir <br /> <br />FOOTAGE ~~ HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SEJ/€m <br />FORMS. <br />~ <br />6 4L{iR 0 <br /> <br />o BUILDING <br /> <br />PERMITS REQUESTED <br />/~" ~ 00 <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />o Progress Energy 0 <br /> <br />W. R. E <br /> <br />AMP SERVICE <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />$ <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 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 />SIGNATURE <br /> <br />STATE CERT OR REGIST # ________ <br /> <br />OTHER <br /> <br />***************************************** <br /> <br /> <br />C{,(Y7 C1rh COM PAN <br /> <br /> <br />SIGNA~< ~ <br /> <br />~~ <br /> <br />