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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 /013/1 <br />DATE RECEIVED ) , (OS <br />f7e.t4-- Ie- <br />PHONE CONTACT FOR PERMITTING It?;; #-01- L/L/LI!J <br /> <br /> <br />OWNER'S NAME IN LA-u- D ?~ p ~fe...S , PHONE ~.,j - JIo1--<:../l../(/?; <br />JOB ADDRESS ;? 'f 0 '1 b-.A-/ I ~ Vb ~~~ L<J' jl...~l...ji fLNJ <br />LEGAL DESCRIhIoZ1.f6~(p()(){> P-v P. .:iIPt)BLOCK SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />-,- <br />ffi1(L TERA T ION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />~MMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />R~~J--\ tJ V A +-l 0 J ~:w- , <br />...- <br />SQUARE FOOTAGE ---6f-,7 3 <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <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 />~'LD'NG <br />121" 9'~CTRICAL <br />tf ~MBING <br />B"'MECHANICAL <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />~DJptJ1) · <br />, <br /> <br />.-/ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Progress Energy [] <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALL,A.TION <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 <br /> <br /> <br />SIGNATURE <br /> <br /> <br />COMPANy--#4 rJr TC'J> J <br />STATE CERT OR REGIST # ~~I.'~i)S-~ ~ <br /> <br />BUILDER <br /> <br />******************** <br /> <br /> <br />ELECTRICI~~i <br /> <br />SIGNATURE <-_ \ ' <br /> <br />****************************************** <br /> <br /> <br />COMPANy-AJ. V~ e.e-d tz.l e:. ~ <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />~ (~/2.-1-6 \:0 j+-~ <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY <br /> <br />PLUMBER <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 />