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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-Q021 <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME ~ Zlte.8E-L <br />JOB ADDRESS rH sr <br />LEGA.L DESCRIP. / ~ I ? -f- /9 BLOCK Iii} <br />PARCEL ID # I/-~(P-dl- On/()-IJ./ 5'00- ()/''7() <br /> <br /> <br /> <br />PHONE f3J 3-788- O/BS <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPER~X TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />OSIGN <br /> <br />. ADDITION <br />o MOVE <br /> <br />OALTERATION <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />o DEMOI,ISH <br /> <br />PROPOSED USE :){SGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />DMULTI - FAMILY <br />o INDUSTRIAL <br /> <br />D# OF UNITS <br />o SWIMMING POOL <br /> <br />D MOBILE HOME <br />D OTHER <br /> <br />DESCRIpTION OF WORK <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAl, <br />1+6 tJ I III l- <br /> <br />~~ <br /> <br />I1m/Lv,(!am .;- 8d~ <br />/ ~ I &B <br />FOOTAGE I. 't) 7 ~ HEIGHT <br /> <br />BUILDING SIZE <br /> <br />SQUARE <br /> <br />RESIDENTIAL: ATTACH rJl1 PLOT PLANS & (~SETS OF BUILDING PLANS & ('9;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 />E XI.5- //# b- <br /> <br />AMP SERVICE <br />jJc;{6 <br /> <br />~ FLORIDA POWER <br /> <br />~>~.\ <br /> <br />I I <br />/ <br />./ <br /> <br />W.R.E.C. <br /> <br />~ BUILDING <br />}(ELECTRIC1\TJ <br /> <br />$__c2r5' K <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D <br /> <br />14 PLUMBING <br />D MECHANICAL $ <br />o GAS jZ(ROOFING 0 SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />);( FRAME <br /> <br />o STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PRO.JECT IN FLOOD ZONE AHEAD YES M NO <br /> <br /> <br />f:'l; ... <br />~'.,':if';,:.iJ <br /> <br />- "-~~0_'._ ,:j;-,t"r;,:.," <br /> <br /> <br />;1;~2S <br />tr> j,J r-.vf .t::::,.-/ ,- ;. <br />t:OMPANY '-'C f- - <br /> <br />1lE1l7J-t&( /It Z/~BEL <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />ELECTIlICIAN /, / ~. COM~;""Y SID? <br />SIGNATURE I~ STATE CERT OR REGIST # <br /> <br />OTHER <br /> <br /> <br />********************************************* <br /> <br />PLUMBl!lR <br /> <br />I( c.- <br />COMPANY JEi I- <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />******************************************* <br /> <br />COM~hNy 8Ei;:- <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />~~****************************************** <br />\ , <br /> <br />COMPANY <br /> <br />fiEf;: <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />