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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~H st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IVED <br />PHONE CONTACT FOR PERMITTING g; 5)'//5-0 7 Jf~ <br /> <br />OWNER'S NAME ill-tOLe 6E.t.ClD 5 <br />JOB ADDRESS :5/fi/ ( 5' IE'" bfilUZ-Y 4Jo r <br /> <br />PHONE <br /> <br />Zc:ph\./~' 115 , Fl- <br /> <br />.5-5.s- <J. -z-- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br />DSIGN <br />PROPOSED USE: ~L FAMILY DWELLING <br />o COMMERCIAL <br /> <br />~DDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE He <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />Q,t>....., sTp-u--'- T <br /> <br />X12-EtN Yo1ZGh <br /> <br />J1.N:) G X I ; r/ ~ <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 />o BUILDING <br /> <br />$ <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 /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION'" 3;;2 7 7 <br />o OTHER <br /> <br />o MECHANICAL <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 AREAD YES 0 NO <br /> <br />~~~r<"1'"~''''~''''''~-'- -,.......,... ,..'!"t'~~-~,.,.,..,.-."_..,,..... """-,,,,-,~: .--- ----- --- -- ~ ~- - ~-~ - ~,"'''-''' -- ~ -7"-~-"':;"TT ".-_M_......_~ --"7~:;"'7""~1--;-'f7~11;mr <br />l'I~J~'I;';t:l'!J:!FJt"J~1~'\JlrJ,i/" " 'j; 1",1,',1, ,I'" 'II ,1 I~ I, "1' I J;:11,~11" I ~~~~J!f/':f~i:~~~\/\t1Y~}~:/fp~ <br />~.:~..dd.L.........~~--L..!.l-:~,,"~~_"""'~~...J......'~__~_____ ___ __ ~__ _ _ _ __~ _ __ ~__ _...... ~.-......-..--'-:~~L..).1._.J._"'-"~~~wt..Cl.::..~1 ..,~ <br /> <br />BUILDER A~g . <br />SIGNATURE ~ui:-- () ~ <br />'" <br /> <br />COMPANY <br /> <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 />****************************************************************** <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 />