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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 GONTACT FOR <br /> <br />DATE RECEIVED id-J\~ Ics <br /> <br />PERMITTING'?/3 7~ 3-)'{ILfO <br />fig.. 91], ')'25:6 <br /> <br />OWNER'S NAME GI(ar)~2(J(>S <br />JOB ADDRESS?; 75"33 L ,')1 ~ e etA. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PHONE <br /> <br />Lof 250 <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />\\IORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICE) <br />OALTERATION 0 REPAIR ~STALL <br /> <br />PARCEL 10 # <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~OBILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />Wo.RK. 5e+-itp vn6bjle. h()~ <br />g/ xLI ~SQUARE FOOTAGE /'-132 <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF <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 FORHS. <br />IF SIGN PERMIT 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 /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W,R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <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 />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />BUILDER <br />SIGNATURE~...-,.- {}~~ <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />EJ;..ECTRICIAN <br />SIGNATURE ~~ ~~ <br /> <br />****************************************************************** <br /> <br /> <br />COMPANY Ac e <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br />SIGNATURE h,.....,. /'" ~ <br /> <br />COMPANY r3u.-f-f~ e.1d <br /> <br />STATE CERT OR REGIST # <br /> <br />MECHANICAL <br /> <br />*******************************************~********************** <br />COMPANY /1 L ~ <br /> <br />SIGNATURE~......... 61..... ~ ./~ <br />/ <br /> <br />STATE CERT OR REGIST # <br /> <br />********************************************************k******** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />