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<br />OWNER'S NAME <br /> <br />I <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 0- 17/0S- <br />813-780-0020 FAX: 813-780-0021 &11 <br />pA~(JftRMIT SERVICE <br /> <br />PHONE CONTACT FOR PERMIT~f~6-824-7894 <br />_I Toll Free <br />(j'i.f1C <<- . <br />PHONE ([/3) f97-///7 <br /> <br />f<.; all ~ C-L <br />hl"y_'rkf <br /> <br />LEGAL DESCRIPTION: LOT(S) ~1~ <br />~'/- J~ -,;)j- 0070- OO()O:J- ~l/J-() <br /> <br />JOB ADDRESS <br /> <br />T fU)t.f.J <br />3S ;tlj <br /> <br />~M <br /> <br />SUBDIVISION c/1....tIaIJ IV/flit <br /> <br />jJjS <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br />oSIGN <br /> <br />o ADDITION <br /> <br />oALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: []SGL 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 />/ ~o~i .e y.f.e-fJ<S tot-- <br /> <br />f- <br /> <br />'S-11c1 <br />~O,p <br /> <br />HEIGHT <br /> <br />BUILDING SIZE /0 y: Id <br />10 x/() <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 />SQUARE FOOTAGE <br /> <br /> PERMITS REQUESTED <br />rj;J. BUILDING $ 1, 000. UJ VALUATION OF TOTAL CONSTRUCTION <br />9( ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br />o PLUMBING <br />o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />o GAS o ROOFING o SPECIALTY 0 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 AREAo YES 0 NO <br /> <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY <br /> <br />()(Uur <br /> <br />75 .~~ <br /> <br />BUILDER <br /> <br />o--v-. <br /> <br />STATE CERT OR REGIST # <br /> <br />ELECTRICM <br /> <br />S IGNATUr "fit,,'u- f' (,(! (1.. ,;.' rZ~ <br />/ <br />*******************************************************~.********** <br /> <br />..-,:) <br />****************************************************~*~*~********* <br />/op- <br />QtLJ,ur <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />PLUMBER <br /> <br />(1.-1? <br /> <br />p!U~/tj <br /> <br />COMPANY <br /> <br />(93:>',u J/> <br /> <br />SIGNATUR <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 <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />