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<br />CITY OF ZEPHYRHILLS PERMIT APPLICAT..LUN <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DAT}i~ RECEIVED <br />PHONE CONTACT FOR PERMPrTING 6':;J-', ~~ p- <br /> <br />OWNER'S NAME (y)"-' -:r~)-'""t:<.. OAK,! Rl () <br />JOB ADDRESS ':3'1525 c.JIb1~ L~ <br /> <br />PHONE ~ qs - 999 g- <br />JoI' "224 <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />';;) 4- - ;.:> (., - cS-/-oo 00- Cd) O() <br /> <br />SUBDIVISION <br />()OC]C(OBTAIN FRON PROPERTYTAX NOTICE) <br /> <br />Pl\RCEL 10 # <br /> <br />i <br />WOR~ PROPSED: ~ CONSTRUCTION <br />o SIGN <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <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 />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />./ -~ >c .5C' <br /> <br />~~~-- <br />0()Q <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <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 />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ /'~LY)" e C~ <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 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 />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <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 />********************************************************..********* <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />~~ *********;********************************~******************* <br /> <br />OTHER/\. ok,'/~ ~c;'h~ COMPANY/cOX,.'#O (?c7h~e. <br /> <br />SIGNATURE rZ7~ _/~:--:::-~ ~ _ /1 ---~ 1J.r- <br />--- - - ~-- - -------- STATE CERT OR REGIST # ~-~~) <br />~/-~ <br />