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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 IVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />/1'6-lo33'4 <br />OWNER'S NAME ~ ~ffilia1L~ . PHONE 'l\\~-tJ~- ~lu <br />JOB ADDRESS~!la..J:l~xrd__, _~ ~~-11~Qllq-u:::oL <br />LEGAL DESCRIPTION: LOT(S) \ \ 2. BLOCK~tS SUBDIVISION~ <br />13- a.a-~l..::...QlY.()-(YfYf)- U d:) (OBTATN FROM PROPERTY TAX NOTTeR) <br />WORK PROPSED: ~ CONSTRUCTION <br /> <br /> <br />PARCEL ID # <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br />/' <br />PROPOSED USE~ oGL FAMILY DWELLING <br /> <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~LE HOME <br />OTHER <br /> <br />BUILDING SIZE <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />d Q0.J ~oqt ~4 b~rcl- a-t-tnl'kd~~ <br /> <br />SQUARE FOOTAGE HEIGHT <br /> <br />DESCRIPTION OF WORK <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~n <br />j() LD;:; v <br />/ I <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />NOC- <br /> <br />~LDING <br /> <br />PERMITS REQUESTED <br />$ ::) J ll~ .C"{"j 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 />~ <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE ]l,READ YES <br /> <br />(~~,~ . <br /> <br />. ~~ BUILDER J.A 0, COMPANY \-\ON.l;OW f"\1:. L . <br /> <br />& SIGNATURE~ STATE CERT OR REGIST # ~ <br /> <br />~v ~****************************************************************** <br />...',p 3'5~~ If rw~~'"\~ <br />\~ LECTRICIAN COMPANY <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />~ ****************************************************************** <br /> <br />PLUMBf.{1 ~...) J1-~ (;,11'> COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <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 />