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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 RECE IVED <br /> <br />PHONE GONTACT FOR PERMITTIN~J . <br /> <br /><~\ '7 <br />19? -5'1tfo <br /> <br />OWNER'S NAME tand H{)(iZOYj <br />JOB ADDRESS 57 ~ '23 (j 1/ J Ave <br /> <br />@) <br /> <br />PHONE g I.? , -jg8 -SllC{() <br /> <br />LtJ-f 2J g- <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL 10 # 3'1- 25,2-/ 61 76 -()OOQd - 2??8 0 <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />~STALL <br /> <br />o SIGN <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 />o jl OF UNITS <br />o SWIMMING POOL <br /> <br />~BILE HOME <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WQRK )1?(jb))e. j1()~ Sf f -Ltp <br />BUILDING SIZE 3 J K J <br /> <br />SQ[],ARE 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 /> PERMITS REQUESTED <br />0 BUILDING $ .~) .000. G .~ VALUATION OF TOTAL CONSTRUCTION <br /> J <br />0 ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E,C. <br />0 PLUMBING <br />0 MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />0 GAS o ROOFING o SPECIALTY 0 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 />BUILDER COMPANY <br />SIGNATURE~j l~ STATE CERT OR REGIST I <br />****************************************************************** <br /> <br />E:J;.ECTRICIAN <br />~..A-\ . <br />SIGNATURE ~~~-y...{ =:-=:> <br /> <br />COMPANY A ( e.-- <br /> <br />" <br />(pl"'.\ -~ ~,(!... <br />~o-~... <br />.... <br /> <br />STATE CERTOR REGIST # <br /> <br />*******.*********************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY 13~ f.l-e~eJd M J-IJ <br /> <br />@ <br />- <br /> <br />SIGNATURE~ .A.. ) ~ ~ ~' STATE CERT OR REGIST jl <br /> <br />****************************************************************** <br />MECHANICAL COMPANY Are./' . P9 <br /> <br />SIGNATURE~./ ~ ) STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />