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<br />I ' <br /> <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 />g-- 3r -Of <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br /> <br />..., <br /> <br />7 <br /> <br />PHONE <br /> <br />rJLft-i:. <br />(5 ~. . <br /> <br />7?CJ <br /> <br />(7)S~ <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT (S) {I (l BLOCK <br />PARCEL 10 # r [- 26 -- '2.( VOL 0 ~ (2/00. oflc..J <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[J SIGN <br /> <br />[JADDITION <br /> <br />[JALTERATION <br /> <br />I)!REPAIR <br /> <br />~ INSTALL <br /> <br />[J MOVE <br /> <br />[J DEMOLISH <br /> <br />PROPOSED USE: oSGL FAMILY DWELLING <br />[JCOMMERCIAL <br /> <br />~ULTI-FAMILY <br /> <br />[J INDUSTRIAL <br /> <br />0# OF UNITS <br />[J SWIMMING POOL <br /> <br />o MOBILE HOME <br />[J OTHER <br /> <br />BUILDING SIZE <br /> <br />f? 08' .f"' <br />LfL{ ;X 16 <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />(p: (}st ,~" f{ .e- /2~ A I &'V~N_ <br /> <br />SQUARE FOOTAGE J.$)::JD <br /> <br />DESCRIPTION OF WORK <br /> <br />[J BUILDING <br /> <br />$ <br /> <br />&100 <br />l <br /> <br />I <br />I <br /> <br />PERMITS REQUESTED ~ <br />\ <br />VALUATION OF TOTAL CONSTRUCT~___ - <br /> <br />(2( <br /> <br />,~~~~. :~11Jj~ <br />~ 7~ ~ (;kl)6 <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 />.---/. <br />-- <br /> <br />--- <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />[J PLUMBING <br />D MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />181R00FING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION:~BLOCK <br />FINISHED FLOOR ELEVATIONS <br /> <br />(] FRAME <br /> <br />(] STEEL <br /> <br />(] OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAo YES ~ <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br /> <br /><-.Qt-f <br /> <br />_ Cd! ~'- <br /> <br />STATE CERT OR REGIST # <br /> <br />********************************************************,k********* <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 /> <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 />