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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUIrING DEPARTMENT 5335 8~H st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 I <br />,1 DATE RECEIVED io-'~ /0<" <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME gRAtO L,gV 011!fJ 1/(\/ <br />JOB ADDRESS .517Lf qfl.$/ 2-H//ls FL/I <br /> <br />PHONE <br /> <br /><;to ?/Wf- 9TJ? <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID fI: <br />WORK PROPSED:~EW CONSTRUCTION <br />OSIGN <br /> <br />PROPOSED USE:~GL FAMILY DWELLING <br /> <br />o COMMERCIAL <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE\ <br /> <br />o ADDITION <br />o MOVE <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0* OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOMI <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APrROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />R'< v:> I /lee <br />, <br /> <br />CON eRe T C (J 12 I ue <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />AMP SER:VICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o GAS <br /> <br />o 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 />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />I~~___'~_'_~~"'~ -..w--i __"'___wr___""-_ __ __ f-~ ___~~~_~__ ____ - - - - -- - ,------ - ___~_4__.~__n <br />1<" [ I , ,I ' , <br />~_~'__~_____~_ ________"_______ ________~_____.:....~_______ __ _u~ _______'~__~_' ' I " , <br /> <br />BUIWER <br /> <br />COMPANY <br /> <br />f-/o,rl @ ow,ve.d <br /> <br />SIGNATURE <br /> <br />IZfj &1-. <br /> <br />STATE CERT OR REGIST fI: <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 fI: <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 />