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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 RECEIVED <br /> <br />9,. ) 0 -or <br /> <br />i <br />I <br />OWNER'S NAME z,tJr" Prop.' f~'Ill), INC. <br />JOB ADDRESS J 9'$"') J <br /> <br />PHONE CONTACT FOR PERMITTING '1 J- 'Z I) - 92.?;L <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL I D # I J - ~ ~ - 2 I .. <br /> <br /> <br />PHONE ~/J - 2.} 2.. .. lei') S- <br />,'II J. ;C"l, <br /> <br />SUBDIVISION tIIt.""IJ~ cJf.res <br /> <br /> <br />WORK PROPSED: 0 NEW CONSTRUCT ON <br />DSIGN <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE:~SGL FAMILY DW LLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />D <br />DESCRIPTION OF WORK Ker"d <br /> <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />2.SCJ <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT <br />COMMERCIAL: ATTACH (3) SETS <br />IF SIGN PERMIT ONLY (2) SET <br />PROPERTY SURVEY <br /> <br />PLANS & (2) SETS OF BUILDING PLANS <br />OF BUILDING PLANS & (1) SET ENERGY <br />OF ENGINEERED PLANS REQUIRED. <br />REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (I) SET ENERGY FORMS. <br />FORMS. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br /> <br />,,(1 <br />- <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 $ *q17 <br />o SPECIALT 0 OTHER <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />o GAS .ftl. ROOFING <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 'Ro"f:"'.) S-1",f;'tI.us ar ~-J"ttl .;NC.. <br /> <br />SIGNATURE <br /> <br />W{J <br /> <br />STATE CERT OR REGIST # C CC I) 2' 2J'/ <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />***************** ************************************************ <br /> <br />MECHANICAL COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />**************** ************************************************ <br /> <br />OTHER COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br />