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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />'0~O JV!>- <br /> <br />PHONE <br /> <br />CONTACT FOR PERMITTI~ K'2.\STI lJA LI\\otef=... <br />77-/} S~b - 4-2- t.-C1 <br />PHONE <br /> <br />OWNER'S NAME <br /> <br />i~ H&(2.-lL.-A,J ~/J~(2..A-L-- <br />/33~ 0ML 13LV~ <br /> <br />JOB ADDRESS <br /> <br />.2f-:H<ee.-(J-i LL S. <br /> <br />fl. <br />) <br /> <br />33>s4~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />;3/.f Z S 2- \ 0000 00300 n07.J'D <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DN~W CONSTRUCTION o ADDITION DALTERATION o REPAIR o INSTALL <br /> .-' <br /> / <br /> B SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> ~MERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK~tJS~-AT10~ 0\-" ~c.oO~t..{ "oTiPf-: W..A-L-L S(6-tJ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />~ILDING( ~Lb-~ J <br />~ELECTRICAL <br /> <br />$ ~b) 000 c,"'" <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />$ .-, <> <br />~Z. <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />'LECTRI~--_._ ~ <br />" -'.'- <br />0_0'- -.... '-...., <br />SIGNATURE;"'"::<:'-~:, - - ~.:> <br /> <br />COMPANY <br /> <br />1>A,h<;' S\~ > <br /> <br />~. <br /> <br />STATE CERT OR REGIST # S TConD S L\- 3 <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 />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />