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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 />~- ~t}r <br />, <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />J C{ l/L1..l.5 <br />592,00 <br /> <br />JOB ADDRESS <br /> <br />5" -Tb "7 ~ <br />r+" It V( <br /> <br />PHONE <br /> <br />.., <br />, <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />- 00 z. 0 <br />PARCEL 10 # /2... -'LV; - L/ - (::) 030 - 00 <000 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[J ADDITION <br /> <br />[JALTERATION <br /> <br />[J REPAIR <br /> <br />[J INSTALL <br /> <br />[J SIGN <br /> <br />[J MOVE <br /> <br />[J DEMOLISH <br /> <br />PROPOSED USE: [J SGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[JOTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />;t (. y"t)'F 3 0 Jf <br /> <br />~ <br /> <br />~. <br />30 yeq,y / / M!,"Y /, ~ r S <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 />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br /> <br />& (1) SET ENERGY FORMS. <br />FORM~/____-~~ <br /> <br />o BUILDING <br /> <br />PERMITS REQUESTED <br />S2-00.00 <br />VALUATION OF TOTAL CONSTRU <br /> <br />:It ~/~~I <br />f <br /> <br />$ <br /> <br />o <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF 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 />padwe~s ~o pa~uT~d 'pad^~ aweN <br /> <br />padwE~s ~o pa~uT~d 'pad^~ aWEN <br /> <br />~uaw5pa1Mou~OE 5uT~E~ uos~ad JO ~~n~Eu5TS <br /> <br />~uawa5pa1Mou~oe 5uT~E~ uos~ad JO a~n~eu5TS <br /> <br />4~EO ue a~e~ ~ou PH:[] PTPD 04M PUE <br />(uoT~eoHnuapT JO adkj.) <br />paonpo~d se4 04M[J <br /> <br />~O 'aw o~ UMOU~ ^TTeuos~ad s1 04~ <br />(pe6paTMou~oe uos~ed JO eweu) <br />^q <br />0(: , JO l\ep- sT4~ aw a~oJa8 <br /> <br />'4~eo ue a~E~ ~ou PTP[J PTP [JOt.{M pue <br />(UOT~EoTJT~uapT JO ad^~) <br /> <br />paonpo~d se4 04M[J <br /> <br />~o 'aw o~ UMOU~ ^TTeUos~ad ST 04M[J <br />(pe6peTMou~oe uosIed JO eweu) <br />^q <br />-oz ' JO ^ep - sT4~ aw a~oJa8 <br />