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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 />PHONE CONTACT FOR <br /> <br />DATE RECE IVED S' /3 i ( () i <br />PERMITTING 013-3' ~ - a~ 1 q <br /> <br />OWNER'S NAME =S-a. So 0/ rC I i. c ( Q ~e a. I <br />JOB ADDRESS (" () y" g D+h 'S +, 7e0 hy r- \-1; II <;" <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />PHONE ~~13-18;;)-~o'7 a <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />utADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br />PROPOSED USE: ~SGL FAMILY DWELLING <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ~RE'DYY' Q~"-~),,, <br />BUILDING SIZE '~ 3 ")I. I S SQUARE FOOTAGE 3L1 S" <br /> <br />HEIGHT ~ f1+ <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 />~ BUILDING <br />Ie1 ELECTRICAL <br />111 PLUMBING <br /> <br />$ <br /> <br />& (1) SET ENERGY FOIU1S. <br />FOfUoIS. 1$.1",/,7- OLf <br /> <br />NPJiJ) /.... ' ,l~ <br /> <br />l... NOC .W7l ~(l L~ <br />PERMITS REQUESTED a- ~ r'~ <br /> <br />VALUATION OF TOTAL CONSTRUCTroe~I1(JfL-~ <br /> <br />1!1' Progress Energy 0 W.R.E.C. <br /> <br />AMP SERVICE <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLJl,TION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: ~ 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 a;y/NO <br /> <br /> <br />BUILDER J <br />SIGNATURE)<f Q ~~_I...J~ <br /> <br />~-~ <br /> <br />\~')Q C'l~ () <br /> <br />COMPANY <br /> <br />n WYtC)/ <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN _ ~ <br /> <br />SIGNATURE )\~S~, <;\~ 1\ S(' J, J:::: . 0.-0 <br /> <br />COMPANY <br /> <br />(,\ <br />U 0-~'\!L1I <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLtn<BER ~ ~ <br />SIGNATURE ~I'--; J 1 f' ~ A -', C' [) <br /> <br />COMPANY <br /> <br />o ~rwr <br /> <br />STATE CERT OR REGIST # <br /> <br />MECHANICAL ~ <br />SIGNATURE)f1 a.] ~ <br /> <br />****************************************************************** <br />f' /' <br />COMPANY l }tA,rJ1..QA <br /> <br />'--~Q A~ <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />