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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br /> <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 ~~ . <br />813-780-0020 FAX: 813-780-0021 U 0 <br />DATE RECE IVED <br /> <br />OWNER'S NAME <br /> <br />PHONE CONTACT FOR PEPJ{~P-ERMIT SI.;RVlCE <br />I ' .i ..' ,. 1-866-:-824- 7894 <br />( ~(OA).d:,~HONE Toll Free <br /> <br />R-ae~/ Oarl/A4 <br /> <br />\/ <br /> <br />J rl/9 I3l"J/ LUi..e. <br />LEGAL DESCRIPTION: LOT(S) {p,;L. <br />PARCEL ID # oJ'I-oltJJ-J./- oo~... OOIO~ ~ ot"UJ <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION E PJ-l 111/'/ fJO/~"t/I <br />~tfI't' <br />(OBTAIN FROM PROPERTY TAX NOTICE! <br /> <br />BLOCK <br /> <br />DSIGN <br />PROPOSED USE:~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />~ADDITION <br />o MOVE <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />WORK PROPSED: DNEW 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 />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK Roon, Rdd,..f,cn,- <br />ID("'tlll ldD <br />BUILDING SIZE _ ~ ~ SQUARE FOOTAGE ~ <br /> <br />HEIGHT 5~~'F laM. s <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. " <br />105 u-.:l huJC. <br />- ~ <br />~ )",. U {I,Ll/', & <br /> <br />~c. <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 />$ <br /> <br />00 <br />i. 0ttJ. <br />. <br /> <br />PERMITS REQUESTED <br /> <br />~ BUILDING <br />qi ELECTRICAL <br />tlt PLUMBING <br />o MECHANICAL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATIO <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />o SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />~THER oJ U h')/;' u W'-' Frai'Ht::... <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />~.=~~~~~.=~~.~;:'~~~=~~~:~==~~=~'==~_~_ _ __ _, _ .~ __ _ __ ..~=~-; _:_-~~.',:-=~_~-~~_T=:~~~~:~~__~~:~~',._~~ <br /> <br />BUILDER <br /> <br />COMPANY ~JJ tJ!t.,/EV OotOgMA/iJT tAl c.. <br />I <br /> <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />ELECTRICIAli!' <br /> <br />SIGNATURE <br /> <br />STATE CERT <br /> <br /> <br />************************************t************************** <br /> <br />-~- <br /> <br />.COMP~f ~,m~ ~ <br /> <br />STATE CE T OR REGIST # RF~o {!> Q __l/ C) <br /> <br />PLUMBER <br /> <br />f <br /> <br />************************************ <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />...;~:' <br /> <br />STAT~ CE~T OR REGIST # <br /> <br />********************************************~******************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />" <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />