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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 89 St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />1/5 (05 <br /> <br />I <br /> <br />PHONE CONTACT FOR PERMITTING 7f17-315--7?J:O <br />oe 7:n-3,S-59 00 <br />OWNER'S NAME +- PHONE 8/3-7fJ'--SbOb <br />JOBADDRESS'714~ Ashland Dr. ~LS/FL.33S40 <br />LEGAL DESCRIP~ION: LOT (S). ~? BLOCK SUBDIVISION/I-/{i1a Wage Ei5k <br />PARCEL ID # 55- :;(S-- :;>[ - cn~o - 00000 .- ~ (OBTAIN FROM PROPF.RTY TAX NOTICE) <br /> <br /> <br />WORK PROPSED: ONEW CONSTRUCTION o ADDITION o ALTERATION D REPAIR ~ INSTALL <br /> OSIGN D MOVE 0 DEMOLISH <br />PROPOSED USE :'l{tSGL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS D MOBILE HOME <br /> D COMMERCIAL D INDUSTRIAL D SWIMMING POOL D OTHER <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ~a0f' fY)(l j. +--1U.lri.d~ I S'omf si? ~ <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 />o BUILDING <br />D ELECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />.-,~ <br />~~f%. <br /> <br />PERMITS REQUESTED <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />D PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br />BUILDER <br />SIGNATURE WH Q llo (}c1 0 rWl Ct Y\ <br /> <br />CONTR1t.CTO:R '.S. E.C....T I. ON <br />" ..", ," .," . '. .,' . <br /> <br />. . d'. .. ... COMPANy.kKe rrnQn (~1~{)) J \ n C) _ <br /> <br />STATE CERT OR REGIST # ~ (J~C:lr/l <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 />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REG 1ST # <br />