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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~R St, Zephyrhills, FL 33542 <br />e13-780~0020 FAX:813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME ~or \r,~ \:-bU""J <br />JOB ADDRESS, l).~ ~ \ .) 'cf ~~ <br />LEGAL DESCRI PTION: LOT (S) II ~ -3 BLOCK \ g ~ <br />PARCEL 10 # \ l ~J.t,- ~I- lJ61 0 - \ ~Ho60 - Va I (?) <br /> <br />PHONE ~h~ ld~ ;b~4 <br /> <br />~ ..:... <br />. . <br /> <br />SUBDIVISION <br /> <br />/08TATN FROM PROPERTY TAX NOTICE\ <br /> <br />, WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />~EPAIR' <br /> <br />g-fNSTALL <br /> <br />DSIGN <br />PROPOSED USE: ~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <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 />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />BUILDING SIZE <br /> <br />R <- ~c;1 <br /> <br />DESCRIPTION OF WORK <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 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 />$ 8:) 3(!), 00 <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 />o GAS ~FING 0 SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 F~OOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />**********************************************************~******* <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE ~ERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />,- <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />, COMPANY <br /> <br />" <br /> <br />SIGNATURE <br /> <br />I /{ U- <br />***************************************************************** <br /> <br />STATE CERT OR REGIST # <br /> <br />OTHER KeV1Yl ;::'tJJ~k] <br /> <br />~J? <br />SIGNATUR -~ <br /> <br />COMPANY ij#ia$' ~j <br />STATE CERT OR REGIST # (tJ::.~ ISJJYo,;- <br />