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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 />PHONE CONTACT FOR <br /> <br />../ - <br /> <br />DATE RECEIVED /1-/;;....05 <br /> <br />PEmaTT~:Lfj-i~ <br /> <br />PHONE <g 13 rt Jj 3 6 I fJ 3 <br /> <br />OWNER'S NAME <br /> <br />-.5v,rJ !1EOIC.r.>I G,/ JO <br />~ r; (cr G' /~Lt.. 13t> <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCELID# 032{;2.lo%o3300 0010 <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: D NEW CONSTRUCTION <br />~IGN <br /> <br />DADDITION <br /> <br />DALTERATION <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />D MOVE <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />~OMMERCIAL <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D # OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />DOTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />HEIGHT <br /> <br />II <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />if-BUILDING <br /> <br /> <br />S REQUESTED <br /> <br />R"ELECTRI CAL <br />D PLUMBING <br />D MECHANICAL <br /> <br />UATION OF TO!AL CONST~UCTION <br />~ G u ,t ,,- c. 0..0 .-u G::::h t:1'> 0 -u l-". <br /> <br />AMP SERVICE D Progress Energy D <br /> <br />W.R.E.C. <br /> <br />D GAS <br /> <br /> <br />$ <br /> <br />VALUATION <br /> <br />D ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZO <br /> <br />SIGNATURE <br /> <br />COMPANY tJEs? cs;.-.J~L ::;; ( 6-./ S <br />STATE CERT OR REGIST # 6$'0000 g'l <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br /> <br />wE.....T CEv"Tj(.,t)'-. S( 6~ <br />COMPANY .,. <br />STATE CERT OR REGIST # E> t.? .;)oOCJ <61 <br /> <br />ELECTRICIAN <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 />