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<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 />/ ( /2/ 0 ~ <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME Be ( ~A if L <br />JOB ADDRESS ~~ / 1.0 . Aq..u.o. fV)qYI"lL tJaJ <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />PHONE <br /> <br />L 0 + l~ <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICE) <br /> <br />\vORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />6INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMOLTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />~~ RESTAURANT & HEALTH DEPARTMENT A.PPROVAL <br /> <br />. - MO(jL~J (<;e+-ltp . <br /> <br />BlJILDING SIZE <br /> <br />SQUARE FOOTAGE <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 REQOIRED. <br />PROPERTY SURVEY REQOIRED FOR ALL NEW CONSTROCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />PERMITS REQUESTED <br /> <br />It 5(05 <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 />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <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 <br /> <br />o NO <br /> <br /> <br />BUILDER <br />SIGNATURE W'Y'" 1]~L€!3 <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />E~ECTRICIAN <br /> <br />****************************************************************** <br /> <br /> <br />COMPANY C( and eJ \ <br /> <br />SIGNATURE~/---r- B~~ <br /> <br />STATE CERT OR REGIST # <br /> <br />********************************************************,.********* <br /> <br />PLUMBER <br /> <br />COMPAN~~+1uf.eJot <br /> <br />SIGNATUREW~ L~~ _. STATE CERT OR REGIST # <br /> <br />*******************************************~**1******************* <br />COMPANY L2Q nr S <br /> <br />MECHANICAL <br /> <br />SIGNATURE~~ I~ STATE CERT OR REGIST # <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />