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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 />PHONE CONTACT FOR PERMIT'rING W" <br /> <br />3 }-() (p <br />7!8-5'tJr./tJ <br /> <br />OWNER'S NAME Q al1d I-IOr'lZO/) <br />JOB ADDRESS"]} &JJ ~ CIi/J lauJA'vt <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID # 3'1-25. 2/-0/7tJ -O(jooo-22/0 <br /> <br />gr3-1t?2-5'140 <br /> <br />PHONE <br /> <br />L()f 22 J <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICE) <br />OALTERATION 0 REPAIR ~STALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMOLTI-FAMILY <br />o INDOSTRIAL <br /> <br />0# OF ONITS <br />o SWIMMING POOL <br /> <br />~OBILE HOME <br />o OTHER <br /> <br />c:J RESTAORANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WQRK Mohlle ho(Y1R.. s;e_ f -lA.{) <br />, <br />BOILDING SIZE ~ 7X ~O <br /> <br />SQGARE FOOTAGE <br /> <br />/020 <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BOILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQOIRED. <br />PROPERTY SURVEY REQOIRED FOR ALL NEW CONSTROCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORt-IS. <br /> <br />NOC -../ <br /> <br />6' BUILDING <br /> <br />$gS~ tX>O. (.) 0 <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTROCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALOATION 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 OT HER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br /> <br />BUILDER COMPANY <br />SIGNATURE STATE CERT OR REGIST # <br />********************************************************,'********* <br /> <br />E~ECTRICI~~u <br />SIGNATURE ~"- ) STATE CERT OR REGIST I <br />****************************************************************** <br /> <br />COMPANY Ace <br /> <br />PLUMBER <br /> <br />COMPANY /34 ffedd d ~11-/-.j <br /> <br />SIGNATURE ~ . '.~ STATE CERT OR REGIST # <br /> <br /> <br /> <br />* * * *--:-::: * *1:: * * * *: *.:-:: * * * * * * * * * *' * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * <br /> <br /> <br />COMPANY ,A [" <..,. <br /> <br />MECHANICAL <br /> <br />SIGNATORE ~~' <br /> <br />~~, <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATORE <br /> <br />STATE CERT OR REGIST # <br />