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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8n St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />'2/~1 <br /> <br />, <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />PARCEL ID # 3S:-;lS -~- CbID -I :<'00- t:Ja::;O <br /> <br />PHONE }7~~i~;'~ <br />Zt:#A Vy.~ ://r 7; ?,?rYo - <br />, / <br />SUBDIVISION eOli.'1t-,..y 04,h Sou.-Ht <br /> <br />(OBTAIN FROM PROPERTY TAX NOTIC-El <br /> <br />OWNER'S NAME Gi-' u C) (/ /' Jl/ C1 / ~ <br />I'M <br />JOB ADDRESS ,f~7tJt ~/)A'1-), i~y . L-o T/J <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />WORK PROPSED: g]NEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE:~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br />o MOVE <br /> <br />OALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />jij MOBILE HOME <br />o OTHER <br /> <br />o RESTAURANT & HEALTH <br />DESCRlIpTION OF WORK R 4 (7 ty/ {}.-jl /,' I: V">t <br />BUILD[NG SIZE r X j J- <br /> <br />DEPARTMENT APPROVAL <br /> <br />SQUARE FOOTAGE <br /> <br />j2-.5 {, S1 <br /> <br />I <br />HEIGHT ? <br /> <br />1XI BUIL!l>ING <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMtRCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. ....::.:> 1-:-:::. I'J I E::: I::> <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br />'EitJ& NJi6J.JJl G J S <br />~U;~ IN (C~~~ <br />PERMITS REQUESTED { 1 l Mp.J uJ; lulU? <br /> <br />$ S-Pt/ O.:;:?- VALUATION OF TOTAL CONSTRUCTION <br /> <br />!OfJ <br />/ <br /> <br />1iJ ELECtRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />plFRAME <br /> <br />o STEEL <br /> <br />:lii OTHER aI k&f1.ll't~ <br /> <br />FINIS~ED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />BUILDE~ <br />SIGNATbRFi ~ ~ STATE CERT OR REGIST # <br />****************************************************************** <br /> <br />O()~C!tOR;;'.$EO'rIO~ <br />.,.,....:..,',.-;'.,..,....., ','-'.:--",," ,"""'."--'-,:,;::"_:_'.:: :::.."....:'.. '... ,-..:,'.:" ",",.,".,:__C, ,_" <br /> <br />COMPANY O~ Ne:t{ <br /> <br />ELECTRtt:CIAN ~ <br />SIGNATURE- ~ - STATE CERT OR REGIST # <br />****************************************************************** <br /> <br />COMPANY l)L.JNW <br /> <br />I <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />MECHANtCAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />SIGNAT~RE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />