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<br />.. <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~H St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 2---1 ~O I <br />DATE RECEIVED ~ ~ <br /> <br />--- <br />PHONE GONTACT FOR PERMITTING \~i <br /> <br />OWNER'S NAME G(a.vt\ \~()"\ 2-0 () <br />JOB ADDRESS 31(P08 . Lj\\~ B.eCL <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />L6t 23Cj <br /> <br />PHONE 2\3~'7W -s '-I L-/ 0 <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />3~ -25- 2-1-OI70-000()O - 2390 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION o ADDITION DALTERATION o REPAIR ~NSTALL <br /> o SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS ~OBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL <br />DESCRIPTION OF WO.,RK .tfJci?i)t ~ se.i -L.o/ <br />BUILDING SIZE 1!:1 'I- 5b SQGJARE FOOTAGE 12.4 g . <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COt-'JMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORt<1S. ~ <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. ,~EVlEVV ( <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTIOl'tITY OF ~:::~ 't:.~ <br /> <br />BUILDING OFFICIAL~/q . '--J <br /> <br />PERMITS REQUESTED I .~ <br /> <br />35. ~ () <br />$ 000. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o BUILDING <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 />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 /> <br />BUILDER COMPANY <br />SIGNA'rUREk.J'7"'<~<.:::J STATE CERT OR REGIST J <br />***********************************************~****************** <br />COMPANY he <br /> <br />EJ;,ECTRICIAN <br />SIGNATUR~~- ~ <br /> <br />(i) <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER COMPANY I~ t-1cAd II f\1J-1 s <br />SIGNATURE~~ STATE CERT OR REGIST I <br /> <br />"**""'**'*'*'~""*"""*'.*"""***'i1'*'*"*'*.*....**,*,.. <br />MECHANICAL COMPANY /1 G€-- <br /> <br />SIGNATORE~~ STATE CERT OR REGIST I <br /> <br />*********** ***************************************************** <br /> <br />u\ <br />& <br /> <br />~) <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />