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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />~-1-0 (p <br /> <br />PHONE GONTACT FOR PERMITTING --rer,. 7 ,,)I-fijl-Jt) <br /> <br />OWNER'S NAME G~lId 11ov"Zd1 <br />JOB ADDRESS . :J1$/9I'VtlAfo!Y7 A vfL LlJj '2-'-11 <br /> <br />PHONE 311. 7J3-Sil'lo <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL 10 # ']'-1- ZS. 21 - 0 176-00 000- '2-'-170 <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />\VORK PROPSED; DNEW CONSTRUCTION o ADDITION DALTERATION o REPAIR ~STALL <br /> DSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING DMlJLTI-F'AMILY 0# OF lJNITS ~OBILE HOME <br /> o COMMERCIAL o INDlJSTRIAL o SWIMMING POOL o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WQRK mob) Je. horn c Sf f -lAJ:> <br />I <br />'j)j..5""1 <br /> <br />BUILDING SIZE <br /> <br />SQIJARE FOOTAGE <br /> <br />15?? I <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORt1S . <br /> <br />r-JOC J <br /> <br />6 BUILDING <br /> <br />35000, ~() <br />$ , <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 />VALUATION OF MECHANCIAL INSTALLA.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 <br /> <br />o NO <br /> <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />********************************************************~********* <br /> <br />E~ECTRICIAN <br />SIGNATURE ~~--r-- -> STATE CERT OR REGIST I <br />********************************************************,,********* <br /> <br />COMPANy!lce <br /> <br />PLUMBER <br /> <br />COMPANY 8t, -1ft / h dC! IV];l5 <br /> <br />SIGNATUREZ:::=;~~~ _ STATE CERT OR REGIST I <br /> <br />****************************************************************** <br />MECHANICAL COMPANY /J c e. <br /> <br />SIGNATURE~~ <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />