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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 RECEIVED <br /> <br />') pgfY <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME ~ /Z... <br /> <br />i&4rZS ~~ <br />383vo //'T- /fv~ <br /> <br />PHONE /86 - / a &3 <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR ~INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: 0 SGL FAMILY DWELLING <br />~OMMERCIAL <br /> <br />OMULTI-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 <br />R~ - ~jI'\.:'-r eLl U'x ~. -.L r <br />DESCRIPTION OF woRY< .#UJ7;iJ/( H/te ..J~,/J;'IS"S-/d/U <br /> <br />APPROVAL <br /> <br />JYp j/V-; <br /> <br />o BUILDING <br /> <br />BUILDING SIZE SQUARE FOOTAGE HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) ~~-RG~RMS. <br />COMMERCIAL : ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FO~~/ <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. I 'jV <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. / Ji: dD.g~ <br /> <br /> <br />PERMITS REQUESTED ~ ~.~~ 1 <br />VALUATION OF <br />AMP SERVICE 0 Progress Energy <br />l Pl. ~ <br /> <br />VALUATION OF MECHANCIAL 'NST~LL<~'ON . 1)c\\~ <br />o OTHER C?/J) ~- 33 - <br />o FRAME 0 STEEL 0 OTHER. __~=-- <br /> <br /> <br />$ <br /> <br />o ELECTRICAL <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />1415 <br />I <br /> <br /> <br />o PLUMBING <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />~SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />~'11'::1~I~~If'''''''_'!"1f'_'''''''~''=<~~~'7'''''''''''''''....,..".....,..,.,.....,.,.".~'''''~'''r ',- -" ---- ---~---- - - - ~-------~~- --~~~~~~...~ <br />~~;~:~'kF:;'#84j1~ll1Hrf"";0t'~:' (,~ ,';, ~!~ 1iJ, j ,~' .r;~ \ijr > lY:1"t,: ); ~}~~"4~;'! Jlcl~i:;~~~}p:Y~~)l!tjJ~~'I~~ ~fl~W41R~j~1f~~JjX1K't/ I) _~. - ~""1 <br />r; <"~ 'l',,"} 'Id~,' n 'fl ,', ~I, ,J >" " "~l,~~ ~';, ~ ~~" ;Je,:~~...Q;if"';;i;"''''-tJR'\''~::;.f.&~.fJ~f1t~~''':~f.~ 1 ':~W;'j; i\1!0- ~J:Wj:i'rJt}IJ 't"i~r <br />:Olo.~~~=~__....._.. ~"""",",_~......L~...;,.::,J,,,,~,,,-__.,._ _~___________ _____ ____ _ _~__ ___~~~.~~~~~k=~=~.liO._ <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <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 ;;de frh~/~~ <br />SIGNATURE U_..... t~ <br />~ <br /> <br />COMPANY t?t1?/J1t/4C/4/ GtE Ci:.9 (5 <br />STATE CERT OR REGIST # .J'9~C.57o()Oc,( /9 B fj <br /> <br />#1~r? <br />