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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 aTH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />PHONE CONTACT FOR <br /> <br />II-Q-c5 <br /> <br />DATE RECE IVED --11/3 k c <br />I <br />PERMITTINGf/'3- ?)9' 3fbtl- <br /> <br />OWNER'S NAME chleDI7J6 I?- /17;1Is1z- <br />JOB ADDRESShO 31 f(i~:I..~6 WRY r;:J.e.,w:- <br />. l,I' I <br />LEGAL DESCRIPTION: LOT (S) 'S"(? BLOCK <br />P.ARCEL--io-w) D :3 :J.. G ~) 0 I "3 D 0 OO() 0 05 /' D <br /> <br />PHONE f/?" ~;> 9- 5' 9~Jf <br /> <br />SUBDIVISION Zd'fi)), vR ;i?tif(:;r' <br />. / <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[JADDITION <br /> <br />J!1ALTERATION <br />[J DEMOLISH <br /> <br />[J REPAIR <br /> <br />[J INSTALL <br /> <br />[J SIGN <br /> <br />[JMOVE <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />[JMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />[J# OF UNITS <br />o SWIMMING POOL <br /> <br />[J MOBILE HOME <br />~ OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />~clcs& ~.-/'If'}"R! 10 <br />f <br /> <br />BUILDING SIZE <br /> <br />/ cP- X ,';- ~ <br /> <br />SQUARE FOOTAGE <br /> <br />G -'1-A:'r;yrI <br />-c? . ,') <br />~) I r7Z <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 REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />[J BUILDING <br /> <br />~' 1{O. r" (,J() <br />$ ~.., <br />. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br />N~N8r<P:~;'!Cs- <br /> <br />/tND ~~~~ ~~Yl <br /> <br />})jr" 14-\ l.. ~l1- <br />(Lfi" i IZ.uJ <br /> <br />PERMITS REQUESTED <br /> <br />[J ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[J Progress Energy [J <br /> <br />W.R.E.C. <br /> <br />[J 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 />(!':I OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />R;I FRAME <br /> <br />[J STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES ~ NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY ~A?€ OWUA,,1!!!.1l. <br /> <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />