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<br />I 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 RECE IVED <br /> <br />'! b/o 5 <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br /> <br />OWNER'S NAME t \\ ~ O~~'vl <br />JOB ADDRESS <br /> <br />PHONE ~ 4Q.S' /y~~S- <br />?J- L{ <br />SUBDIVISION C j!-f l 0&- 2(,.~h; }Js; <br /> <br />PARCEL ID # <br /> <br />, <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTioN <br /> <br />o ADDITION <br /> <br />oALTERATION <br /> <br />~REPAIR <br /> <br />o INSTALL <br /> <br />I <br />PROPOSED USE:jgSGL FAMILY DW$LLING <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />o COMMERCIAL <br /> <br />oMULTI - FAMIL Y <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />D~SCRIPTION OF WORK <br /> <br />I <br />c=J RE TAURANT & HEALTH <br />i <br />o tv-.::Tl <br />I <br /> <br />I <br /> <br />RESIDENTIAL: ATTACH (2) PLOT I PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETSloF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SET~ OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEylREQUIRED FOR ALL NEW CONSTRUCTION. <br />I <br /> <br /> <br />$ 50ClO4 <br /> <br />BUILDING SIZE <br /> <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />PERMITS REQUESTED <br /> <br />~ BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br /> VALUATION OF MECHANCIAL INSTALLATION if t1 q ~V <br /> <br />o PLUMBING <br /> <br />o MECHANICAL $ <br /> <br />o GAS 0 ROOFING 0 SPECIALT~ <br />I <br />TYPE OF CONSTRUCTION: 0 BLOCK I <br /> <br />FINISHED FLOOR ELEVATIONS ! <br /> <br />o OTHER <br />r1l FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAo YES <br /> <br />ptNO <br /> <br /> <br />BUILDER <br /> <br />STATE CERT OR REGIST # <br /> <br />ELECTRICIAN <br /> <br />*********************************************************;:1.****** <br />~ <.AI;' ,:/ ') l;;:) <br />COMPANY t'lpyU;/ J C-. <br />( <br /> <br />-_.~-~--~_.~----- <br /> <br />SIGNATURE <br /> <br /> <br />STATE CERT OR REGIST # <br /> <br />iUHBER <br /> <br />****************~************************************************* <br /> <br />SIGNATURE <br /> <br /> <br />J)~ l. '- <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />* * * * * * * * * * * * * * * * *'* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * <br /> <br />MECHANICAL \. \ <br /> <br />/1 <br /> <br />COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />**************** ************************************************ <br /> <br />OTHER COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br />