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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 /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />/V)rt78"L o~,cr <br />~ c..Jc- <br /> <br />j)/u <br />tuq~c.L <br /> <br />PHONE ft;c;0~qq::; y <br /> <br />JOB ADDRESS .~ I () I <br /> <br />~~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID #::24--(:iil&:.-;;;;)-O{)tJO- ()C;;/(JO -od9o {OBTAIN FHOM PROPERTY <br /> <br />WORK PROPSED: ~ONSTRUCTION 0 ADDITION o ALTERATION 0 REPAIR <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMUL'rI - FAMIL Y <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />BUILDING SIZE <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPRdvAL <br /> <br />/d..~ ~ /~/'ve- ~~ <br /> <br />SQUARE FOOTAGE ~ CD <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <br /> <br />PERMITS REQUESTED <br /> <br />& (1) SET ENE <br />F'OHMS . // <br />//' <br /> <br />I 4~~ 1 <br /> <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 />o BUILDING <br /> <br />$ <br /> <br />I IR /)b .00 <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 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 />SIGNATUREca.... c.. <br /> <br />CcJY\C~ <br />gV"'~ <br />. <br /> <br />****************************************************************' <br /> <br /> <br />COMPANy?~~'Llo CC01~ <br />STATE CERT OR REGIST It 2--~ /f'S <br />