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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8D St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />ow. NER' S, NAME n) ~ p ~n\Q.Ql'\ <br />I ~., <br />JOa ADOREas -5::l d-.'if '1'\" u.ib 4i! I""'ff- Cd- <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />PARCEL ID 1# 'D ,.~~. ~I -Otd-O . ODaon .' O() SO <br /> <br />PHONE &1]. )~K" OOJ c) <br /> <br />SUBDIVISIoN <br />(ORTAIN FRO~ PROPERTY TAX NOTICEI <br /> <br />WORK PROPSED: ONEW CONSTRUCTION o ADDITION o ALTERATI ON o REPAIR o INSTALL <br /> . OSIGN ' 0 MOVE 0 DEMOLISH <br />PROPOSED USE: [JSGL FAMILY DWELLING DMULTI-FAMILY 01# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />BUILDING SIZE <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />~\j.. .D~ ()hW.~ "l ~ArJb6 <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <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 />o BUILDING <br />o ELECTRICAL <br /> <br />~ 99- <br />$ , l d-d._ <br /> <br />.PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />0, PLUMBING <br />, [J' MECHANICAL . <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />o GAS . ,0 ROOFI~G I.: 0 SPECIALTY <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 />SIGNATURE <br /> <br /> <br />C61f.rRAcroa:%ISECTION <br />1... '~.':L ;.... ;.,j,';t;'.'. ..l";_.;':c,'~.lJ;'-~."~.,...'>::c" '''';'.' ..'.' ..1'.:..... .'. <br /> <br /> <br />BUILDER <br /> <br />~***************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST If ecc C5f{ J 3'/ <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST If <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST If <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST 1# <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST 1# <br />