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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8n St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE lVED <br /> <br />1\ 1~3JCFS <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />O~NER' S, N~ 0 (j r. liu.bba I rl <br />JOB ADDRESS 3ll\'d:\ '1eCl.\]-err \,/ }...oC')P <br />I <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID 1# lQdWcll 01 ao 000000 a 10 <br /> <br />PHONE ~13 - l_8g - 71{ d L <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[JSIGN <br /> <br />{OBTAIN FROM PROPF.RTY TAX NOTICE\ <br /> <br />[J ADDITION <br />, [J MOVE <br /> <br />[JALTERATION <br />[J DEMOLISH <br /> <br />[J REPAIR <br /> <br />[J INSTALL <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />[JMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />OSWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />P1Grc,)n+ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (11 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 />o BUILDING <br />o ELECTRICAL <br /> <br />$~ <br />Aa <br /> <br />PERMITS REQUESTED <br />{.,41500VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />0, PLUMBING <br />'[J' MECHANICAL' $--0..} a <br />[] GAS . '~~I~G I" 0 SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />[] OTHER <br /> <br />TYPE OF, CONSTRUCTION: 0 BLOCK <br /> <br />[] FRAME <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES [] NO <br /> <br />CONTRACTOl(fi S:&:CTION <br />~...'....:.L ;.., i., '~;~'.;';-. ~"..o>;-:r.to' .th.'.....'} '.,.....';;:;~.' ", '. ~ " . ," .... c' >.1'.:.... <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST 1# <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST It <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST 1# <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST 1# <br /> <br />~~R ~a\~ *~~*~~~*\~:*:::::~~*)*i~~~~;~~~ <br /> <br />SIGNATURE ~ ~ '\, - \ ' ~ -, '\ ~~ . 'I STATE CERT OR REGIST * C -C~ -, - <br />