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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUnDING DEPARTMENT 5335 8!rH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />,\ <br /> <br />DATE RECEIVED <br /> <br />,,::;-1 '6"/ 0 ~ <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME RiJy- r1 I) /J ~ / cS '.I....r PHONE ? 8.'3 -9 z. s- 'f- <br />JOB ADDRESS 3g'} Lj S- ;;;,....,& A ~ ? ~ri'hll /I~. Fl A ,::; ? <;<[;)- <br />LEGAL DESCRIPTION: LO~(S) I). cJ- I S BLOCK /9? SUBDIVISION c/ ffr'd'?-hY.t <br />PARCEL ID * 11- ~~ - J /-00 I CJ -- I 9 r () b-- I::{ 06 (OBTAIN FROM PROPERTY. TAX NOTICE) <br /> <br />WORK PROPSED: []NEW CONSTRUCTION D ADDITION D ALTERATION o REPAIR o INSTALL <br /> OSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE:~ FAMILY DWELLING DMULTI-FAMILY O. OF UNITS D MOBILE HOMI <br /> D COMMERCIAL D INDUSTRIAL D SWIMMING POOL o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />_DR., u 0 <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APrROVAL <br /> <br />f2.J4D <br /> <br />vJA1 <br /> <br />~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />scJ S,)//" <br /> <br />HEIGHT <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 PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~UILDING <br /> <br />~PERMITS REQUESTED <br />9cJ <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />$ <br /> <br />o ELECTRICAL <br />o PLUMBING <br />D MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o GAS <br /> <br />D ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />D STEEL <br /> <br />~HER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST * t,( Co J y- ~ f-o <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 />