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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 RECEIVED <br />..-.--} <br />PHONE GONTACT FOR PERMITTING er, <br /> <br />3,3.-0 Cc <br />7Y 8 -5llLjo <br /> <br />OWNER'S NAME l~>anJ HO(f20V) <br />JOB ADDRESs37S 50 GI'// Ave [0+ 2 72 <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL 10 # 3LI- '25' 21-0/ 7()- 00000-2720 <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICE) <br /> <br />IvORK PROPSEO: ONEW CONSTRUCTION <br /> <br />o AOOITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />(Q.-J:NSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />Q--'MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WQRK mob, ie. home.- Set -Lt. 0 <br />I <br />BUILDING SIZE 52x2'1 <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />In s-fal/o flO v') <br />FOOTAGE /2 'I ?J , <br /> <br />SQGJARE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COJvJMERCIAL: 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 />PERMITS REQUESTED <br /> <br />ri BUILDING <br /> <br />$ 35/)()6, ',<0 <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 />VALUATION OF MECHANCIAL INSTALLll,TION <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 />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />~ <br />SIGNATURE ~~, .' '--~ STATE CERT OR REGIST # <br /> <br /> <br /> <br />** * **** ** * *"* *** ** ** * * **** *** ** *** * * *** ** * * *** * ****** ** * 'k * ** * * * *** <br /> <br />E:(,ECTRICIAN <br />~~ <br />SIGNATURE ~ <br /> <br />COMPANy;A c e <br /> <br />STATE CERT OR REGIST # <br /> <br />********************************************************~********* <br /> <br />PLUMBER <br /> <br />COMPANY!3tffe/)"e/C!,IV! /IJ <br /> <br />SIGNATURE ~~ ~ . STATE CERT OR REGIST I <br /> <br />* * ** *** * *** * * ** * * ** * * **** * ******* **** ** ** * },**** ** ** **** *, **** ** ** * <br />MECHANICAL COMPANY /-{ {. e <br /> <br />SIGNATURE k::;.~~ STATE CER'r OR REGIST I <br />********************************************************k******** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />