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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 IVED <br /> <br />9l3%y <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />JOB ADDRESS <br /> <br />c:..UD{Y)~ a~ C'..XJrr(\l"Y'\G~ <br />30550 ~ ~\V <br /> <br />PHONE <br /> <br />OWNER'S NAME <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 /> <br />o ADDITION <br /> <br />.8:{'ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />PROPOSED USE: 0 SGL FAMILY DWELLING <br />)gCOMMERCIAL <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 ~\:)\.lJ. ~~~\C- ~'N',. -::r:-~ \ \~"5~v..... nLll"f'Y\I~v"<'V'\' <br />\ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 />FORMS . ~ <br />W)b.-Z. ,0 <br />~ . <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 />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <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 />f$-!"1'f!'!~""I~"1'"H'"'--""""""''''''''7'''''''-''''- ~- '-"""''''''''''''~'''1T:-'''''''''''~'''''''''''' ,--- ,~---~~----~~ --~- ------~~-- ~--~~~~,....l<'!l~~~_ <br />tII~lj~/~~~j~W'~~!~\~~t~~;~:J t 1,~\i.'tri~1~,:j'~:~!,~~r,' ~f<;::r~0~''''' . j' ~ ~')>~'1t>~lfy1:~(~R~;)<"T~l'"~~t}~t-4itili!i~:Ifj'1JJ ~~ <br />~, ,,;_.,!L. co,,, T;~~d-,-,; 'JW_~,~.,H!:.tr,_:;;~.~";~y!,, 1 ': ~" Y" ' ~^,I"!: v' /:,,", ' ,., ~ ~ :~'1hif;~i]ij};,;~~~::VJ;~;;k;."Jf :l,-,W\;;:"\"~ 7l.i1 ,1liiF.fii c:> . #ht,':tl-i!l, I ,:!#, pt~f1 <br />ll.~~.l.I;.,.,;,.Cl._~~h~~v"",,~.l.AA...~_~_..____~_~~~~__ ~_ _~_ _ ~___ _ _ _____ ___ ~4~~~_d~~~~W~~~~~:lj.;;_ <br /> <br />BUILDER /'::::::-:--=-::-:=::=~~ COMPANY ~\.....\ ~\6 D..J...~ <br />SIGNA~ STATE CERT OR REGIST * <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 />