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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 <br /> <br />DATE RECEIVED <br /> <br />7)7~5- <br /> <br />PHONE CONTACT FOR PERMITTING f3& -JVJ- 873,;/ <br /> <br />OWNER'S NAME <br /> <br />c...-a5f)/7 <br />sYt/d, <br /> <br />./l$'rs <br />'7' ii.. 0'1:' ' <br />f. /e~1 <br /> <br />PHONE <br /> <br />BI3-}r{J- 8';>32 <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br /> <br />[]ADDITION <br /> <br />[]ALTERATION <br /> <br />[] REPAIR <br /> <br />~ INSTALL <br /> <br />[]SIGN <br /> <br />[] MOVE <br /> <br />[] DEMOLISH <br /> <br />PROPOSED USE: BlSGL FAMILY DWELLING <br />[]COMMERCIAL <br /> <br />[]MULTI-FAMILY <br />[] INDUSTRIAL <br /> <br />[]# OF UNITS <br />[] SWIMMING POOL <br /> <br />[] MOBILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />Z,lcd;;:J... ()/ <br />/8 fJI '-&U<-1-1 <br /> <br />( )W/Alf//f'Y <br />SQUARE FOOTAGE <br /> <br />/t):?/ <br /> <br />DESCRIPTION OF WORK <br /> <br />HEIGHT <br /> <br />5;:; II <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 />o BUILDING $ ~JOO VALUATION OF TOTAL CONSTRUCTION <br />[] ELECTRICAL AMP SERVICE 03 Progress Energy 0 W.R.E.C. <br />o PLUMBING J 7,51J <br />[] MECHANICAL $ OF MECHANCIAL INSTALLATION <br /> VALUATION <br />[] GAS o ROOFING o SPECIALTY 0 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 D NO <br /> <br /> <br />SIGNATURE <br /> <br />~. <br />STATE CERT OR REGIST # <br />/' <br />****** ************~*~*~~::************************************** <br /> <br />I~ 3') , COMPANY <br /> <br />COMPANY <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <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 />SIGNATURE ~ <br />/' . <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />