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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 />L cJl-/ r 1~r <br /> <br />~AI ;Jr/2.dy <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME .50(/ r4 S" ~ l <br />JOB ADDRESSS 7 J:57 L <br /> <br />C. //C/Lc~ <br />A VL A <br /> <br />or cl'~,'~rPHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERAT ION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE He <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />;( e- ,K .s fJ L / or ~ rsTfPl 0 11./11 (//1/,,' rS <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL <br />o PLUMBING <br />~CHANICAL <br /> <br />AMP SERVICE <br /> <br />D Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />.3- 77S- ($>(; <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 />11'-""~'Y1'~":""'="'~""-~~""""""""""'-~j~~-""""""""""''''''''''''''-'~~'1-''-'''''- -~- -- --- -~- - -~ - ~ - - ~__~....._....~",,".....__"__!r"_ --...,,:,-~ ....'>;'I""':~,.,.,.,.,....-m'*lf1,...I~ltl!~ <br />~:I"~';"* rr"'ttli;//h"".,'(. ;1"1, ,'~(.. ,,:;' if"" -', .,1' ',}lll:~~r;rll":',,'ifu"~'I~~V1f" <br />'r!';:.~~'~;1..":.r.~...'.:.~~,L':""'~':"'1i:~_.h'_~~_':"'_-- ___ __ _ __ _ __, ______ ___ ~~~~_~_:r.~,l_~_~,:i':':l:',~' t, ,1'1',1:11';;: <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 />MECHANICAL <br /> <br />SIGNATURE Z./ ~~ <br />/' <br /> <br />****************************************************************** <br />COMPANY 4' /II H"~ S /.i!-t:> /l"l/A./( CI/...!e... ,.(ft <br /> <br />STATE CERT OR REGIST # C"qcor39Y.5' <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />