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<br />II <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 />loh/ !t?S <br /> <br />I ' <br /> <br />PHONE GONTACT FOR PERMITTING <br /> <br />OWNER'S NAME YJ <br />JOB ADDRESS ',7736 <br />LEGAL DESCRIPTION: LOT(S)~ <br /> <br /> <br />PHONE <br /> <br />BLOCK <br /> <br />232- <br />SUBDIVISION(7A'h',ud . /h;l!/z ;);.6j23 <br /> <br />I <br />i <br />I <br />IVORK PROPSED: 0 NEW CONSTRUiTION <br />I <br />o SIGN ! <br /> <br />PROPOSED USE: OSGL FAMILY ~WELLING <br />o COMMERCIAL I <br /> <br />PARCEL 10 # <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICE) <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />GYtNSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~BILE HOME <br />o OTHER <br /> <br />o INDUSTRIAL <br /> <br />D <br />DESCRIPTION OF WO.,RK JVJuh;!! o(}, L Se1' L-t / <br />BOILDING SIZE 27.X l)(P ~_ <br /> <br />I <br />RESIDENTIAL: ATTACH (2) PL~T 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 />SQUARE FOOTAGE /tJ12 <br /> <br />HEIGHT <br /> <br />PERMITS REQUESTED <br /> <br />& (~~. S~Y E:ORMS. <br />FOR/ . _ <br /> <br /> <br />c:: <br /> <br /> <br />o BOILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy O! <br /> <br />W.R.E.C. <br /> <br />o PLU~lBING <br />o MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIAL <br /> <br />VALUATION OF MECHANCIAL INSTALLl~TION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOC <br /> <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 <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />E:(,ECTRICIAN <br /> <br />STATE CERT OR REGIST # <br /> <br />**************** ************************************************* <br /> <br />PLUMBER COMPANY & -rt C/--lie (' d <br /> <br />/3 <br /> <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE L.-;, <br /> <br />MECHANICAL <br /> <br />* * *** ** * *** ** * ** t * * ** ** * * * * ** * **** * ***** ** *jJ******* * *** -1.**** ** ** * <br />COMPANY ( e..., <br /> <br />SIGNATURE ~ <br /> <br />L5: <br /> <br /> <br />STATE CERT OR REGIST # <br /> <br />**************** ************************************************ <br /> <br />OTHER COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br />