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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUI!LDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />I 813-780-0020 FAX:B13-7BO-0021 <br />DATE RECE IVED <br /> <br />I PHONE CONTACT FOR PERMITTING . 1'60 - d- 22... \ <br /> <br />OWNER'S NAME <br /> <br />13 q yo hCl r CA- j/)1 / / ley- <br />. ~s ~.s-<:..I / -=+--.3 55.5-L/ 3 <br /> <br />PHONE /79 - 3 /28- <br />Sr("1/1-\'~ Ie Cf <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # lf2 - 2(..:,.-21 -oZOU 00006 --0050 (OBTAIN FROM PROPERTY. TAX NOTICE\ <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br />o SIGN <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />[] REPAIR <br /> <br />9"1NSTALL <br /> <br />[] MOVE <br /> <br />[] DEMOLISH <br /> <br />~LTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOM! <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ RESTAURANT <br /> <br />KC"rao J!-I'n C) <br />o <br /> <br />& HEALTH DEPARTMENT APPROVAL <br />IA J / f ~ 2.5- ~AY .s~//1(/ / t:.) <br />. 0 <br />SQUARE FOOTAGE 2000 HEIGHT <br /> <br />BUILDING SIZE <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 />$ <br /> <br />VALWATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />~CHANICAL <br />o GAS ~~FING <br /> <br />AMP SERVICE <br /> <br />o Progress Energy [] <br /> <br />W.R.E.C. <br /> <br />$ 3990. ,70 <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 AREAD YES 0 NO <br /> <br />I'~I'~"----"''Trfl'''''-'"'''~ _~ _ _~__--..,_~~..--_~~..,.,._ - -- -~~I' ~ ,_~ ~~ - __r---->-_'_,--.----_~_~ ~ ~ I '" -" ~ -- t -, - ..- ~ 17t,~ l -,-~r:~,.,.,..-:.;[t., <br />~llhl' '111'1 'I' l' I; I I I. I ~ I It 1~::,~I~Jt~ll~~,'j!l <br />tJ'1111~ll], 1111) I ~ 1 I, ',I ( I I' I ,I~ I I 1 t ( ! I, L....r ~ ''',I/-.''\! I <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 CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />MECHANICAL U <br />SIGNATURE V~/' . / <br /> <br />COMPANY <br />STATE CERT OR REGIST # ("[C /3 ~ <br /> <br /> <br />****************************************** <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />