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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 />DATE RECE lVED <br /> <br />~/&;/o"(p <br /> <br />PHONE CONTACT FOR PERMITTING ~ \ ~ - rDi . \cl..Q. \ <br />/" . <br />\ <br />OWNER'S NAME d Q)..~~ '\ \'(\~\ ~~ -\ .p{> r (\ 1~ PHONE n~ -/\),- \ ~ d-l <br />JOB ADDRESS L1 \ GO S, \ .J e r C__Ai \...\e- "7 - ~~ \ \ S 3~ h l\ ~ <br />LEGAL DESCRIPTION: LOT (S) 3~ BLOCK SUBDIVISIONc... nu \fuC)-t \/ ~ \ \ QS <br />PARCEL ID # 15 -~lp '~)l" OIQD '0 () 000. 03 yo (OBTAIN FROM PROPF.RTY TAX NOTICEl <br /> <br />WORK PROPSED: ONEW CONSTRUCTION o ADDITION DALTERATION o REPAIR o INSTALL <br /> OS IGN o MOVE D DEMOLISH <br />PROPOSED USE: ~GL FAMILY DWELLING DMULT I - FAMI L Y 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL DSWIMMING POOL o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />OESCRIPTION OF WORK ~e>- l~ CA>;' sC ~'L.. 5~O\.~~.J <br /> <br />~ BUILDING SIZE ~ It ]!f. ~"S\- SQUARE FOOTAGE 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 />o BUILDING <br />o ELECTRICAL <br /> <br />$ 4 cgw. <br /> <br />PERMITS REQUESTED <br /> <br />.- <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />b MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS ~ ROOFING 0 SPECIALTY <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o OTHER <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 />CONTRACTOR SECTION <br /> <br />BUILDER L1 <br />SIGNATUR j~0 I <br /> <br />~~~ <br /> <br />COMPANY <br /> <br /> <br />6l1uD <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 <br /> <br />****************************************************************** <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 />