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<br />CITY OF ZEPHYRHILLS PERMIT APPLICAT~U~ <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 <br /> <br />NAME /J7~c O~~ e/U <br />)<J--~ L/r liAr <br /> <br />BLOCK SUBDIVISION <br /> <br />PHONE <br /> <br />~s 97/F-- <br /> <br />JOB ADDRESS ? (04- ~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL I D # .;;>. +- ....;;(p- ~ / -OCfk)- <br />WORK PROPSED: ~ONSTRUCTION <br /> <br />o~/~-- tf>bYO <br /> <br />(OBTAIN FROM PROPERTY <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />DSIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />oCOMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DM[JLTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT & HEALTH <br /> <br />I~ y 60 <br /> <br />DEPARTMENT APPRdvAL <br /> <br />M.t~~~~ <br /> <br />FOOTAGE k;c; HEIGHT <br /> <br />BUILDING SIZE <br /> <br />SQUARE <br /> <br />o BUILDING <br /> <br />$ Iht>.6>e; <br /> <br />PERMITS REQUESTED <br /> <br />& (1) SET ~-""" <br />FORMS. ~ ' <br /> <br />~4&1 <br /> <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 />o PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />---------/~ <br />W. R.E <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OT HER <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 />**************************************** <br /> <br /> <br />OTHER CdYt~ COMPAN <br />SIGNATU~ <ii> ~ ~~~ STATE CERT OR REGIST # "7-#~ <br /> <br />