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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUI;LDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 .JP(o~(1 <br />813-780-0020 FAX: 813-780-0021 J 1-....,~.O~ <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />'-1 ~ ~ . 1... t..~ <br />OWNER'S NAME -1;1 V\CL ~!- j~ ~ . PHONE <br />JOB ADDRESS' b'7.3Cj' ~~ ~~. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />l}-.c> .;\.'0 <br /> <br />BLOCK 0 ~ (:JD <br /> <br />SUBDIVISION <br /> <br />{To/e <br /> <br />PARCEL ID # ()3 -~fo -d-I ~ 00/0 'O~OCl.CDC)() <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION o ADDITION o ALTERATION o REPAIR o INSTALL <br /> DSIGN o MOVE a;;vDEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING DMULTI-FAMILY 0* OF UNITS o MOBILE HOM <br /> E:l"COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL <br /><<~cr\lf"(s :!M::> X:AO ~~ -S.10.4-- <br /> <br />- SQUARE FOOTAGE - HEIGHT <br /> <br />-- <br /> <br />BUILDING SIZE <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 PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ Jls.'~O<DC> <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 />- 0 -GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />$ <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 /> <br />SIGNATUR <br /> <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 />***k************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <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 />