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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 fA /2 ft;)' <br />DATE RECEIVED If, . .7, .. <br /> <br />PHONE CONTACT FOR PERMITTING tl'Jr U 7- -p4oL.- <br /> <br />JOB ADDRESS <br /> <br />l.jffrf~ 6AI1n ~~ <br />~e.'345 . U 11n! wrop y,- <br /> <br />PHONE q 13-7~rZ"'" 'f~S-' <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />6'2- U.".. 2--!- DZ/g~ OD€bl>-aDU <br /> <br />SUBDIVISION 1IJ1~~ <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: oNEW CONSTRUCTION o ADDITION o ALTERATION o REPAIR ~NSTALL <br /> oSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: oSGL FAMILY DWELLING oMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />121 fL II tN 11l,JfT'P IJ/ u (D e., 0 ~ jf ()f.&vi A4q <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 />f.o7, S" a <br /> <br />~UILDING <br />o ELECTRICAL <br /> <br />?116.tf~ <br />$ <br /> <br />PERMITS REQUESTED <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 />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 AREAo YES 0 NO <br /> <br />~~.~'~~=~.__'_~~~~~~~~..~~~~~~~~.~ ~ .~~~=-_~'. ~~~.~.~ ...~ ~ .... _.' ~. .. _ _. '_ . _ .__. . .!=~~~"~.~~~.~~~ _~~~~_~~_.~~ ~~~~. :""=~=~li~~:!:i~ <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 /> <br />=:TU~~: ::::N:ERT OR ~IS~~::; <br />