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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />g-/3/oS <br />I . <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME Or an C( )-{ 0 If Z ClI'1J <br />JOB ADDRESS . ~ -J~31 Ci/ / ,A Ve Ltrf 2 ~ I <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: []NEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICE) <br /> <br />o SIGN <br /> <br />o ADDITION o ALTERATION o REPAIR o INSTALL <br />o MOVE 0 DEMOLISH ~LE <br />DMULTI - FAMIL Y 0# OF UNITS HOME <br />o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DESCRIPTION OF WORK <br /> <br />RESTAURANT & HEALTH DEPARTMENT <br /> <br />5&~ <br /> <br />APPROVAL <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 />FORMS. <br /> <br />PERMITS REQUESTED <br /> <br />t1 ~ 01 <br /> <br />o BUILDING <br /> <br />$ <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 6F 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 COMPANY <br />SIGNA;URE Pt-;z- ~",u.,. STATE CERT OR REGIST * <br />************* **************************************************** <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE LJc--r~..t1 J, <br /> <br /> <br />****************************************************************** <br /> <br />COMPANY Ace <br /> <br />STATE CERT OR REGIST # <br /> <br />PLUMBER <br /> <br />COMPANY!?hf7d!lfJd <br />tJ~_ 13- ~ ~ STATE CERT OR REGIST # <br /> <br /> <br />**********************************;~~;~~~***i4(:~**************** <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />SIGNATURE L/~ &--- ~ ~ ~ <br /> <br /> <br />***************************************************************** <br /> <br />STATE CERT OR REGIST # <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />