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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 />{ f,~ vf 7U~?'1 II <br />--~ <br /> <br />,<y /2/cL/ <br />DATE RECE IVED / 1 <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME ~ to.-....... , <br /> <br />~ .. t <br />JOB ADDRESS. c-f {/U .' <br /> <br />1/rJ Cj;~-I-/-D <br />.n;-A /J (/~ jJ /1.. <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # /7 - '9-6<-7--/ .-(>;) ')V cJO?JOO (".//7CfoBTAIN FROM PROPERTY TAX NOTICE) <br />f <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />ld-1iDDI TI ON <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: 0 SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />Id-oTHER <br /> <br />BUILDING SIZE <br /> <br />c:J RESTAURANT & HEALTH <br /><:) (A -f ...p /1 A ~,~ I'h <br />).0 <br /> <br />DEPARTMENT APPROVAL <br /> <br />,/>/,;/') t: 1--...v:C <br />/~ .. <br /> <br />?--ij-/~ <br />. <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <br /> <br />11y <br /> <br />SQUARE FOOTAGE <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 CONSTRUCTION. <br /> <br />(1) SET ENERGY FORMS. <br /> <br />F;j;~ u~ <br /> <br />PERMITS REQUESTED <br /> <br />'2. '+\) <br /> <br />Pj-})L- <br />,q}J)~N <br /> <br />~DING <br /> <br />$ <br /> <br />Yi//t/ <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. 4t,3:1~~ <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATIO~~7. , <br />-(Cer -VHO <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 />COMPANY 1-1.- L- <br /> <br />/)7r--~ A' J (4n A- Lq /JJ) -?/./~ <br /> <br />SIGNATURE <br /> <br />b-l. ~~ <br /> <br />STATE CERT OR REGIST # <) {' t?J ,?,).b'~ <br /> <br /> <br />* * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ~I.l v'()ci,.:(~ <br /> <br /> <br />J:t..1 Fl.i <T 14,/ <br />COMPANY <br />,fi"~ <br /> <br />ELECTRICIAN <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 />