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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8" St, Zephyrhills, FL 33542 , <br />813-780-0020 FAX: 813-780-0021 ( / _ I ell (<1- <br />DATE RECE IVED ~ I L / '-t' <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME.::B..R( blJ..i <l. PCU La. toi e.. <br />JOB ADDRESS ~ ~ r; /<.( /t:/ f-h 8. <br /> <br />PHONE rt{PJ)-30/9 <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID # 1(-/lw-'dJ-lJdO- 07QOD-()/aD <br /> <br />SUBDIVISION <br /> <br />(ORTAIN FROM PROPF.RTY TAX NOTICE) <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br />D SIGN <br /> <br />D ADDITION <br /> <br />DALTERATION <br />D DEMOLISH <br /> <br />D REPAIR <br /> <br />ltINSTALL <br /> <br />D MOVE <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />D OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK C/o 41 t=I-"f-('Jmd 4/0[..3 -1r) Va:!- /~ton 13S~~ 51<.u.::J <br /> <br />BUILDING SIZE <br /> <br />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 />PERMITS REQUESTED <br /> <br />D BUILDING <br />D ELECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />D PLUMBING <br />D MECHANICAL <br /> <br />$ <br /> <br />(11)1- ro <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br />CO~C:;!t'()~SECTIQN' <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br /> <br />SIGNATURE <br /> <br />*********************}1***'i.l***********~~ ~., <br /> <br />COMPANY H - oL aL... r-rc.:-, C!!.:~ <br /> <br />STATE CERT OR REGIST # {!aci)SI L/ob2... <br /> <br />************************************************************ <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />