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<br />CITY OF ZEPHYRHILLS PERMIT APPLICAT~UN <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 />LEGAL DESCRIPTION: LOT(S) <br /> <br />)!!/u_ PHONE ~~ <br /> <br />ny 0~ <br /> <br />SUBDIVISION <br /> <br />--- <br /> <br />OWNER'S NAMEma ie;.)'1 c... O.#?tJ' <br />~' V <br />JOB ADDRESS . 6/0Y ~~ <br /> <br />BLOCK <br /> <br />PARCEL ID #24--(;)b-d~e>~- om/t")c9- <br />WORK PROPSED: ~UCTION o ADDITION <br /> <br />0090(OBTAIN FROM PROPE~RTY <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 />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />BUILDING SIZE <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPRdvAL <br /> <br />/;;! y ~ L) LA/;/ --'UPl{j <br /> <br />, SQUA~ FOOTAGE ~ 6 <br /> <br />- <br /> <br />DESCRIPTION OF WORK <br /> <br />o BUILDING <br /> <br />PERMITS REQUESTED <br />$ ~..dJD <br /> <br /> <br />5' <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 ELECTRI C I\L <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E <br /> <br />o PLUMBIN(; <br /> <br />o MECHAN1, CAL <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 />FIN1SHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD Y <br /> <br /> <br />BUILDER <br /> <br />CO~I P ANY <br /> <br />SIGNATURE <br /> <br />ST1\TE CERT OR REGIST # <br /> <br />*********************;k****************************************** <br /> <br />ELECTRICIAN <br /> <br />COl1PANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # -------- <br /> <br />**********************************k*kk*************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***..****************k******************************************* <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # -------- <br /> <br />OTHER l?~c-~HH';H .mHw,w::~:::c;j;;;.iJ;Hrd;:~ <br /> <br /> <br />SIGNATUREs, .=--- .~ ~~~ STATE CERT OR REGIST # ~~ <br />