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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~H St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />OWNER'S NAME <br />.~~(y~ ~oo>~ .' <br />. JOB ADDRESS <br /> <br /> <br />DATE RECEIVED <br />-~J . <br />PHONE CONTACT FOR PERMITTING ey-, <br />.rfP <br />('4' u. C)t Ii.. LhUHONE <f/3' J f t? v/(Lf (J <br />iJf "'s 2. <br /> <br />~\Il <br />738-5Y'iO <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL ID # t'l" Ztp.. Z/-QCx:::Jo- /")01 DO -O()96 (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPSED: DNEW CONSTRUCTION 0 ADDITION OALTERATION 0 REPAIR e:(;NSTALL <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 />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WQRK, art Moil [ 5ef' lAp <br />BUILDING SIZE /3,Xjl? 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 />c1 BUILDING <br /> <br />$ i 5 (JOG · ~ <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 />I2J MECHANICAL <br /> <br />$ 5(j(J 06 <br /> <br />VALUATION 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 OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />BUILDER COMPANY <br /> <br />SIGNATURE ~~ ~ '.J~~~ STATE CERT OR REGIST # <br />****************************************************************** <br /> <br />EJ;,ECTRICIAN <br />SIGNATURE 4.-l,..-">/'l)-~ i3~~ <br /> <br />~) . <br />COMPANY 1'/1"" d",ll <br /> <br />8 <br /> <br />STATE CERT OR REGIST # <br /> <br />********************************************************~********* <br /> <br />PLUMBER COMPANY &f~J.fd /1 j-/j @) <br />SIGNATUREz,u~ /1..~ STATE CERT OR REGIST I <br /> <br />.....:.......... .........................~fl.7.;s***************** <br />MECHANICAL COMPANY l)~hy e~ <br />, <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 />