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<br />CITY OF ZEPHYRHILLS PERMIT APPLICA'l',lU~ <br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECEIVED <br />PHONE CONTACT FOR PERMITTING 6<;J-, ~p- <br /> <br />OWNER'S NAME ('f) A -:) ~)- '""t :c 0 A K,f Rl c <br />JOB ADDRESS39S4;;l-C.~~ r~. <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />PHONE (, qs,~ 999 t <br />1-", 1 or /C}4 <br /> <br />SUBDIVISION <br /> <br />Pl\RCEL 10 # ';;)4 -;;>~ - cS-/-OOOO..... rJojOeJ <br /> <br />() 090 (OBTAIN FROM PROPERTY, TAX NOT ICE I <br /> <br />, , <br /> <br />WOR~ PROPSED: ~ CONSTRUCTION <br />OSIGN <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <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 />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />- <br /> <br />DESCRIPTION OF WORK ./.~ >c .5<", ~~~ -' <br />BUILDING SIZE SQUARE FOOTAGE G de) <br /> <br />HEIGHT <br /> <br />PERMITS REQUESTED <br /> <br /> <br />FORMS. <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 />( <br /> <br />11if6 <br /> <br />o BUILDING <br /> <br />$ /'r:C.XJ '" e> 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 AREAO 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 />e ***************************************************************** <br /> <br />? ~ <br />OTHER oX,."//o {"~~ COMPANY tDx......#o (?C7hou:::t!-e- <br />r:z-:> /--? ~ <br />SIGNATURE .I _ /r, (- <br />, <br /> <br />STATE CERT OR REGIST # <br /> <br />2-oII~)' <br />~/-~ <br />