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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 317 <br />DATE RECEIVED~' <br /> <br />PHONE CONTACT FOR PERMITTING-r;y'J 7 g g - St;t.;{) <br />. (f!) <br />OWNER'S NAME [! at t II" u &0/ I r! J "'0 (VI 'j , 5/ n Oo/j PHONE !?/J 1 ii'll - 22 {'8 <br />JOB ADDJ'.'?:'?r1S/ 1-=/-1 1fo111J $/vd u! ii, L <br /> <br />LEGAL DESCRIPTION; LOT (S) BLOCK SUBDIVISION MAP:>-\-;\"" OAts <br /> <br />PARCEL ID # <br /> <br />Zl/-lru - 2J (){")Oo-. CO/OO .- (JOCI () <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />~NSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE; OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APpROVAL <br />DESCRIPTION OF wo..RK Par l:..)I}o d.e / 5el - Ltp <br />BUILDING SIZE /iJ! q f;; <br /> <br />'SQQARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL .NEW CONSTRUCTION. <br /> <br />o BUILDING <br /> <br />$ 1~66() r" <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 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 <br />SIGNATURE~~~ <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />E:LECTRICIAN <br /> <br />COMPANY fYt.a 17~~~ I <br /> <br />~ <br /> <br />v Cc-.. _ 17 66' )...-'--... <br />SIGNATURE 7-~ "J~~7 ___ <br /> <br />STATE CERT OR REGIST # <br /> <br />PLUMBER <br /> <br />****************************************************************** <br /> <br /> <br />COMPANY ;Bit ffC?~/;;/ d )/1 lis @) <br /> <br />, <br /> <br />SIGNATUREV~ _ <br />.r <br /> <br />;3~ _ ' STATE CERT OR REGIST I <br /> <br />********************************************~~******************** <br />. COMPANY Xa III' .5 <br /> <br />MECHANICAL <br /> <br />SIGNATURE ~~ ~--S ~~~$~ ~ STATE CERT OR REGIST # <br />***************************************************************** <br /> <br />..,p--... <br />~/ <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />