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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 PERMIT <br /> <br /> <br />OWNER'S NAME 'T:rFJ:-..II JJ Y 8A Rid)) <br />JOB ADDRESS 'fb23 C IIAffrEf( 57: <br /> <br />PHONE P13~ 7/9~Y00r <br /> <br />SUBDIVISION_Et>~WdolD SuB JJo.J <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL 10 # 1'1-2(, - 21-0:170- OCJfJOC) -CJ.:lC/(j <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />~STALL <br /> <br />DSIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~BILE HOME <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT <br />DESCRIPTION OF WORK SET lfJP ~DI8.:rL? 1/0).1 E <br />BUILDING SIZE .2g XSb SQUARE FOOTAGE J1S6i3 <br /> <br /> <br />HEIGHT <br /> <br />~UILDING <br />~LECTRICAL <br />~LUMBING <br />~CHANICAL <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) S~~ E~ <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 CONSTRU~T~01Jl <br /> <br />// '-"1116. <br /> <br />PERMITS REQUEST D <br /> <br />$ e2f;OQO.DO <br />. <br /> <br />~CO <br /> <br />AMP SERVICE <br /> <br /> <br />$ ;2SG~ <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 /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br /> <br />STATE CER'T' <br /> <br />~- <br /> <br />***********************************+ <br /> <br />ELECTRICIAN ~ <br />SIGNATURE <br />***** **+ <br />--t: <br /> <br />Yp <br /> <br />PLUMBER <br /> <br />SIGNJl"'" <br /> <br />~~'J.~ <br />~~ <br />~~~~~~ <br />\~~~ 0 '$~cjJ <br />l'Of) 1.'~ ~~9>..~~ <br />''J~\~... 1(:\" A Jl. 'l1J. _~(.\.,,,-e.'), <br />