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<br />...--L.... <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br /> <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 ~/il . <br />813-780-0020 FAX: 813-780-0021 U 0 <br />DATE RECE IVED <br /> <br />lCaclu/ Our!/Aq <br /> <br />v <br /> <br />J rqq f3l"J/ L UJ..e.. <br />LEGAL DESCRI PTION: LOT (S) iR fJ.... <br />PARCEL ID # cJf/-tJ.{p-C)/- oo~- 00/00 ~ O~tJ.J) <br /> <br />PHONE CONTACT FOR PEPA~P-ERMIT SERVICE <br />I' 1-866-824-7894 <br />( 1ZtIx/l..rOA) .' PHONE Toll Free <br />/ ~ <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION E PJ~ mIl fJo/~ I!../I <br />.Rirtrl- <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />BLOCK <br /> <br />DSIGN <br />PROPOSED USE:~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />alADDITION <br />o MOVE <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o DEMOLISH <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 />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />Roon, Rdd;l,o"'-' <br /> <br />BUILDING SIZE <br /> <br />IDt)(tL{' <br /> <br />SQUARE FOOTAGE lLfD <br /> <br />HEIGHT s~e..- f tal-\. S <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />Progress Energy <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br />I 05 'J~ f~LV C. <br />~)~ ~~ ?LII'\& <br />") - I <br />1 . ., 1) JiJJ:-- <- <br />:3 12- <br />; ~ ~7 ~ <br />W;. <br /> <br />o <br /> <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 />PERMITS REQUESTED <br /> <br />p( BUILDING <br />~ ELECTRICAL <br />t&t PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />(JO <br />i, OttJ. <br />. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATIO <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 />~THER oJUYn';'Uh^- F-'ra~t:::.. <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY ~N tJlt..EVC'OIOff"'MAfiJT /AlC. <br />, <br /> <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT <br /> <br />SIGNATURE <br /> <br />.....;;~i7:1f:~..............~......~ ~ <br />. COMPANY ~ <br />STATE CE T OR RE ST .. ';;;:!:, ~ ? "'" Cl <br /> <br />PLUMBER, <br /> <br />************************************************ <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 />