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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br /> <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 ~ <br />813-780-0020 FAX: 813-780-0021 . 0 S- <br />DATE RECE IVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />~~ . "'" . ~ <br />OWNER'S NAME ~ io I I lid[ Qe-{. ffit!.- <br />JOB ADDRESS. j7 ~1JJ.. &cf2 r <br /> <br />PHONE ? 1-3 ~ 7rPo- -DJ'~.r- <br />~ ;Z*~ <br /> <br />LEGAL DESCRIPTION: LOT (S) vOID BLOCK f5D(~ <br />PARCEL 10 # ()3-.:2~ ~ - 90/0 - f)D/CD - 90(0 <br /> <br />SUBDIVISION <br /> <br />~{o <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION 0 REPAIR 0 INSTALL <br />o DEMOLISH cELLJ'i d ~ <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />~MMERCIAL <br /> <br />DMULTI-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 />D <br />~.I-e.-r~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <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 />ErBUILDING <br /> <br />PERMITS REQUESTED <br />$ 55} D~<0D VALUATION OF TOTAL CONSTRUCTION <br />2tr.s H vt u- AMP SERVICE 0 Progress Energy 0 <br /> <br />11 tf6CJ& <br /> <br />IfrELECTRICAL <br />~UMBING <br />o MECHANICAL <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />$ <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 />'LECTRIC~ ~ COMPANY ~.f-r'''-. c!!.J e. ~, ~ <br /> <br />SIGNATUR ..~.........~......::::~.~~~:.~~.~~~:::.~.......... <br /> <br />PLUMBER <br /> <br /> <br />COMPANY ~V\..~, Wl[ll~~ <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />~. <br /> <br />SIGNATURE <br /> <br />-. <br /> <br />'----. <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />- <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />.----- <br /> <br />r-- <br /> <br />STATE CERT OR REGIST # <br />