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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 en St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IYED <br /> <br />--- <br />7~ ~- 0 ) <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />O~R'S.NAMEn\\\ -l:L\o.t:e <br />JOB ADDRESS ~/O 1 ~el'V\Clr-~ <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PHONE <br /> <br />J'5l O. b:J-7 () <br /> <br />~ <br /> <br />PARCEL ID # n}..-J..~.61 · O~(aD. 'OOooD ~ O~OD <br /> <br />Lot- lo D <br />SUBDIVISION ~l~~~~:: In ~,{J <br /> <br />(ORTA!N FROM ~:::F. Y NOT! El <br /> <br />BLOCK <br /> <br />WORK PROPSED: DNEW CONSTRUCTION D ADDITION DALTERATION D REPAIR <br />, DSIGN . D MOVE ci DEMOLISH ~~ <br />PROPOSED USE: DSGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS <br /> <br />D INSTALL <br /> <br />~ <br /> <br />uJV\0DWfJ <br /> <br />D COMMERCIAL <br /> <br />D INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />D MOBILE HOME <br />D OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ~ .KV\~u....L { ~k.JJ \ ;}. r-4,fLU.J '-tJ ~ Ow.a <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 />& (1) SET ENERGY FORMS. <br />FO/~, ' <br /> <br />VALUATION OF <br /> <br /> <br />~v <br /> <br />o BUILDING <br />D ELECTRICAL <br /> <br />$ <br /> <br />o <br />~.IUl.O <br /> <br />PERMITS_REQUESTED <br />.. <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />0, PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />DGAS <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 />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br /> <br />BUILDER <br /> <br /> <br />***************************************************************** <br /> <br />coNtRAt!1'OR~SmCT:t~ <br />~.: ~ ,;'~_::.:~; ,.; 1-.: -X:;-,:':.:, .1'". ':':I.:,lJll",_-,,-~ .,...;'. .,}~. ',". '.",~.:.., .', ",' ,.1~:"_~ ~_. <br /> <br />COMPAiJY~~H J .c;drafl^- ('a.u~ <br />STATE CERT OR REGIST # (' fl.. ~ 05 qR 17 <br /> <br />SIGNATURE <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 />MECHANICAL <br /> <br />****************************************************************** <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 REGIST # <br />