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<br />CITY OF ZEPHYRHILLS PERMIT APPLICJ~'l'.1UN <br />BUILDING DEPARTMENT 5335 8TH St:, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DM~E RECE IVED <br />PHONE CONTACT FOR PERMITTING 6c;..~_r. "7~ ~ <br /> <br />OWNER'S NAME (Y) A j e.)- t. :c O'A .-c..I <br />JOB ADDRESS 3 9" (t C ~ <br /> <br />Rl c <br />~. <br /> <br />Ln <br /> <br />PHONE ~ qS--9c.;9 g- <br />AD-/- /<6'7 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION <br />OO?c (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />BLOCK <br /> <br />Pl\RCEL ID # <br /> <br />~4 -~~ - &-/-0000- (6)0,", <br /> <br />, I <br />WORK PROPSED: ~ CONSTRUCTION <br /> <br />OSIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />[] REPAIR <br /> <br />o INsTALL <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 />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />~~~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />0dcJ <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET <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 /> <br />o BUILDING <br /> <br />$ /'t:L'YJ" C'J C" <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <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 AREAD YES 0 NO <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 />OTHERgk/'/~ ~l,-y,~ COMPANY~Z""//O (lc7h~ <br />r~ <br />SIGNATURE J _ <br /> <br />/('-~-~ <br />, <br /> <br />STATE CERT OR REGIST # <br /> <br />.- <br /> <br />2-oII~) <br />J..,I-~ <br />