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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 />DATE RECEIVED <br />~. <br />PHONE cONTACT FOR PERMITTING J~J <br /> <br />2 - f~ "0 0 <br /> <br />t' d.~ <br /> <br />OWNER'S NAME Or all d tI Q (loW '1 <br />JOB ADDRESS ;3 7530 CO(tj ,Lewl~ Ave.. <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL 10 # Jq -25'2-) ~o J70- 60000- 2J4o <br /> <br />PHONE <br /> <br /><g/3-1 ~<g-5'1L/ (J <br /> <br />Lot 2J'j <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICE) <br /> <br />\YORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />GrrNSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~BILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT AP?ROVAL <br />WQRK h1o.bi\<- \.1OYY\l cS!- t-~ <br />Z 7 ~ Lj 5SQGlARE FOOTAGE <br /> <br />DESCRIPTION OF <br /> <br />HEIGHT <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 />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />NOL <br /> <br />/ <br /> <br />e( BUILDING <br /> <br />$ 5~ 600.00 <br /> <br />PERMITS REQUESTED <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 /> <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 <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATUREit/~ /\~ STATE CERT OR REGIST # <br />****************************************************************** <br />COMPANY Ace. <br /> <br />EJ;,ECTRICIAN <br />SIGNATURE y~ 13~7 <br /> <br />~ <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br />SIGNATURE tJ~~' <br /> <br />COMPANY&ff(/teJd MHS <br /> <br />~ <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />*******************************************it********************* <br /> <br />COMPANY Lice- <br />~/_~ ~~ STATE CERT OR REGIST # <br />***************************************************************** <br /> <br />e> <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />