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<br />CITY OF ZEPHYRHILLS PERMIT APPLICA'l'.J.UJ:~ <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE lVED . <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />(Vl1t7'ES7/C- ()A-1cS <br />3'1 J S 8lacK <br /> <br />. <br /> <br />f(v <br />0q'~~ <br /> <br />PHONE <br /> <br />~q5~CfAD <br /> <br />JOB ADDRESS <br /> <br />AA" <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # ;l4,,:?1J"(;)/-f:)exst:J- t!/OIQ:>'- ~90 (OBTAIN FROM PROPERTY <br />WORK PROPSED: ~ CONSTRUCTION 0 ADDITION DALTERATION 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 />DMULTI-F'AMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />D <br /> <br />RESTAURANT & HEALTH <br /> <br />/cl,x 50 <br /> <br />/ <br /> <br />DEPARTMENT APPRdvAL <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />J:h/u~ vvq~ <br />i?O{) <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <br /> <br />o BUILDING <br /> <br />$ <br /> <br />) [;()t) <PI <br />. <br /> <br />PERMITS REQUESTED <br /> <br /> <br />./ <br />lv 11&0 <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 />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W. R. Ii <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$- <br /> <br />VALUATION OF MECHANCIAL INSTALL1\TION <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 AREAo Y <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />****c************************************************************ <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # -------- <br /> <br />**_c************************************************************* <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />*J r 1************************************************************* <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />. .k**************************************** <br /> <br />*******************} <br /> <br />C~ <br /> <br />STATE CERT OR REGIST # ~-~)I~ <br /> <br /> <br />OTHER C (1YIL;.. /L.e.:te.- <br />SIGNATURE ~ ~~~ <br /> <br />COM PAN <br />