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<br />cIrry OF ZEPHYRHILLS PERMIT APPLICATION <br />BUI'LDING DEPARTMENT 5335 8~H st, Zephyrhills, FL, 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME(lJtboJtlD D~(10lo <br />JOB ADDRESS C; ;~o4 8i::tl C;~ + <br />LEGAL DESCRIPTION: LOT (S);J,O + a I , BLOCK 183 <br />PARCEL ID it \ I-~lo -d I -0010 '~ /8 .300 -o~o 0 <br /> <br />PHONEC81 =) ') Lo:X5 --Co o~ 8 <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICE\ <br /> <br />WORK PROPSED: ONEW CONSTRUCTION o ADDITION DALTERATION o REPAIR o INSTALL <br /> D SIGN DMOVE XDEMOLISH <br />PROPOSED USE: OSGL FAMILY DWELLING OMULTI-FAMILY [Ji OF UNITS o MOBILE HOMI <br /> o COMMERCIAL o INDUSTRIAL [J SWIMMING POOL o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK 00Y\oD A. -tLCt'l 0tJ QnL,~ r~;-t cJt? ~1 fC <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />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 /> <br />PERMITS REQUESTED <br />:;;..~ '52 .%, VALUATION OF TOTAL CONSTRUCTION <br />~ <br /> <br />$ <br /> <br />o ELECTRICAL <br />[J PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />[J Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />[J OTHER <br /> <br />$ <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 [J NO <br /> <br /> <br />SIGNATURE <br /> <br />STATE CERT <br /> <br />~ f.n UlJlOrn..a.dvJ'SVC<; <br />OR REGIST Jt C~O(od,q8 ) <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST Jt <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />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 i <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br />