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<br />I I <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills 1 FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />;,1/:<./ oS- <br /> <br />PHONE GONTACT FOR PERMITTING <br /> <br />OWNER'S NAME (}rtlY'd f../OrJ "20t/7 <br />JOB ADDRESS g / 35:3 Gnl Ave, Lo f /7 b <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: oNEW CONSTRUCTION <br /> <br />o SIGN <br /> <br />o ADDITION o ALTERATION o REPAIR o INSTALL <br />o MOVE 0 DEMOLISH ~BILE <br />oMULTI-FAMILY 0# OF UNITS HOME <br />o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />PROPOSED USE: oSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />f'v\ t\<SLt <br /> <br />Plt <br /> <br />FOOTAGE <br /> <br />HEIGHT <br /> <br />BOILDING SIZE <br /> <br />3/''A50 <br /> <br />SQUARE <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 />$ <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 />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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: AREAo YES 0 NO <br /> <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />ELECTRICIAN <br />SIGNATURE 4/c:;r-- .{'~ .~~ <br /> <br />****************************************************************** <br /> <br /> <br />COMPANY A Le . <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY !3Lti-rut~ci <br /> <br />SIGNATURE <br /> <br />4/~ L?-z.d~~ ~ ' STATE CERT OR REGIST # <br /> <br />****************************************************************** <br />COMPANY 4 L C!- <br /> <br />MECHANICAL <br /> <br />SIGNATURE Wr- .;Bc<~ STATE CERT OR REGIST # <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNA'l'URE <br /> <br />STATE CERT OR REGIST # <br />