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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 lYED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />~ he:, s. 7 Gt"\\ ~~ <br />S6/t ,. .~+ J I., .( ~f- <br /> <br />Sd-oo <br /> <br />K.tdy .!~ <br /> <br />SUBDIVISION <br /> <br />PHONE 7J'7~q 317-: 507D <br />I <br />I <br />I <br />I <br />. I <br />I <br />I <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br />I <br /> <br />JOB ADDRESS <br /> <br />, ,~ <br /> <br />'~, <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />A9~~ ~I 8lJ,'~ f)'~'iJO. OCt/U <br />'B..a ~.. a I.. ()f) <</-D # OOtHJO, OO(i'l) <br />WORK PROPSED: NEW CONSTRUCTION o ADDITION <br /> <br />PARCEL ID * <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />BUILDING SIZE <br /> <br />c:J RE~TAURANT & HEALTH DEPARTMENT <br /> <br />/<1 O/!, p S.bJ..l~ AA -<1. DJ <br />~QUARE FO~TAGE ( <br /> <br />APPROVAL <br /> <br />q INSTALL <br />i <br />I <br /> <br />01 MOBILE HOME <br /> <br />9 OTHER <br />i <br />, <br />I <br />i <br />I <br />HEIGHT I <br />I <br />I <br />& (1) SET ENERGY FORMS. <br />FORMS. i <br />I <br />I <br />I <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING' <br /> <br />, ! <br /> <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />O. OF UNITS <br /> <br />o SWIMMING POOL <br /> <br />DESCRIPTION OF WORK <br /> <br />RESIDENTIAL: ATTACH (2) PLOT ~LANS & (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 />o BUILDING.' <br /> <br />$ <br /> <br />PERMITS REQUESTE~ <br />Cl. &SoaP-- <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />I <br />I <br />I <br />I <br />W.R.E.C. <br />I <br />I <br /> <br />I <br /> <br /> <br />I <br /> <br />I <br />IS PROJECT IN FLOOD ZONE AREAO YES <br />I <br />I <br />I <br /> <br />o <br /> <br />Progress Energy <br /> <br />o <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <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 />o NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />I <br /> <br />STATE CERT OR REGIST * a..co.5t!:/jt.} <br />I <br />. I <br />* *************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST t <br /> <br />PLUMBER '. <br /> <br />t...;......................................................;.......1 <br /> <br /> <br />· COMPANY I <br />I <br /> <br />STATE CERT OR REGIST' j <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />******************************************************************1 <br /> <br />COMPANY I <br />I <br />1 <br />I <br /> <br />" <br /> <br />MECHANICAL <br /> <br />STATE CERT OR REGIST . <br /> <br />* * * * * * *. * * *. * * * * * * * * *. * * * * * * * *. * * *. * *. * * * * * * * * *. * * * * * * * ".... * * * * * * * <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST . <br />