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<br />CITY OF ZEPBYRBILLS 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 />lcD/shy <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />f. III OJ''I <br />,l. .... <br /> <br />.J II~r <br />Por.Jtbl.- Of <br />LEGAL DESCRIPTION: LOT (S) Lof cl~ y:. ~/p BLOCK <br />03 -r:}/; -rll- 0/ rJ-(} - <JOOOO - O~~ () <br /> <br />OOllfL/J <br />{p vs tf <br /> <br />/.h--me / <br />Oa.,tJ /Jr. <br /> <br />PHONE <br /> <br />UfJiyrtlfr , Fl. <br />SUBDIvIsIoNS/Iter da./G[ -fJhu / <br /> <br />JOB ADDRESS <br /> <br />PARCEL 10 # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br />ozf SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o INDUSTRIAL <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />/ n!J rouA..d /~O / .f ~C' H.ef) <br />SQUARE FOOTAGE J ft) t <br /> <br />l?/-..-C!OSVIe <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />HEIGHT <br /> <br />PERMITS REQUESTED <br /> <br />& (1) SET ENERGY <br />FORMS. <br />ItD, ..::-l:> <br /> <br />'? ~...~ ....= <br /> <br />S'" ..;;, \, <br />~. <br /> <br />FORMS. <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 />/5 L)) l~ <br /> <br />... .. <br />fl-Lh-C <br />j?L~ &.. <br /> <br />~ BUILDING <br />'rtJ ELECTRICAL <br />f/J PLUMBING <br />o MECHANICAL $ <br /> <br />$ <br /> <br />o:J <br />.30. a:o. <br />. <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />l:fl Progress Energy 0 <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />W.R.E.C. <br /> <br /> <br />/~ <br /> <br /><7c{7J{ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />SIGNATURE <br /> <br />~~ti:/L " <br />7rt /'0<1/ iu..t-111lJ J1- . <br /> <br />COMPANY TTIJ AxJ/ &~.j/~ De <br />STATE CERT OR REGIST # /(Yli/ tj <br /> <br />BUILDER <br /> <br /> <br />COMPANY <br /> <br /> <br />,,'llLc.. S u~ CD <br />o ('naG 'IJ 'L \ <br /> <br /> <br />****************************************************************** <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />PLUMBER <br />SIGNATURE ~~~ (fIL <br /> <br />COMPANY JT /J /1J()/ !JJI..im.iIAJ he <br />STATE CERT OR REGIST # /Otf'llf <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />.........................................~.....~t:~~. <br /> <br />COMPANY ~ <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />