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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 <br /> <br />DATE RECE lVED <br /> <br />~~ <br /> <br />PHONE CONTACT FOR <br /> <br />PERMITTING J/{)1- i/13 -1" ~ () <br />LlJ603 VWn <br />'IA .<t <br />PHONE ~ <br /> <br />OWNER' S NAMELerhILo~f) <br />JOB ADDRESS 38250 A <br /> <br />tJlJ'~;'1lJ' I-/OMt3 <br />Aliff 2~~/kll.., fl. 33?'11 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[J SIGN <br /> <br /> <br />[J ADDITION <br />[J MOVE <br /> <br />DALTERATION <br />o DEMOLISH <br /> <br />[J REPAIR <br /> <br />INSTALL <br /> <br />PROPOSED USE: [J~L FAMILY DWELLING <br />I)(COMMERC IAL <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[J OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK .2 AJJi~()- 12 TOn PQ~JDCjP/ EER. 10 ) rIeur EkLln'c... ,k!lJ II < 3 <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br />./...,.----." <br />&/t 1) SET ENERGY FO~. <br />FQBM8. \ . <br />f. ' <br /> <br />~.. Jz /) <br />O~ // <br />/ <br />TOTAL CO STRUCTION ~.~ /' <br />(~- "/ <br />--P_.._-~:_~-~<:':.~ -~ <br /> <br /> <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. ,.../ <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRU~~ <br /> <br /> <br />PERMITS REQUESTE I <br />$-1L <i ) 68 tI. 00 VALUATION OF <br /> <br />[J BUILDING <br /> <br />[J ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[J <br /> <br />[J YLUMBING <br />g'MECHANICAL <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />[J OTHER <br /> <br />.t:f) 71/-- <br /> <br />$ -5AMe <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />o FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES [J NO <br /> <br />CQ~CIJ.'QR<SEC'rION <br />. " , -,'" <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br /> <br />* ** * ** **! * * ;*Kh.1>* *** ** * * * * * * * * *** * ** ** ** *** ** * * * j* * * * *'*?:* ****j? __ <br /> <br /> <br />T P' COMPANY f11a r-f-I Y, C U c::r;-./ C ., ~ C <br />~ STATE CERT OR REGIST #EC./3DO).3~3 <br /> <br />******************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br /> <br />OTHER <br /> <br /> <br />...... .................. .....*....:...:...;7f*. 1:0 fJ1 L <br />COMPANY LiM,. 6e(I),Cf>~_ <br /> <br />STATE CERT OR REGIST # GNG 1-:;2.tf qJ{IO <br /> <br />MECHANICAL <br /> <br />~c;~s_::;:;:~:~~_"'~.'- <br /> <br />* ************************************************** <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />