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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 />PHONE CONTACT FOR <br /> <br />DATE RECEIVED Ir /0/ d) <br /> <br />PERMITTING~o-5:) b- 3~. <br />c.JJ/uf$V( (j)~ <br />PHONE ~l-O-~" (- ~ 4- L€, <br /> <br />OWNER'S NAM~VNV(~ ~ ~t~ <br /> <br />JOB ADDRESs6&, ~ 1 G . \ <br />. <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # 11.... ~ '- 2-\ -bO'O"Ot? ~D .-(00 \ 0 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE1 <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br />~SIGN <br />USE: DSGL FAMILY DWELLING <br />W~OMMERCIAL <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HC <br />o OTHER <br /> <br />DESCRIPTION <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />OF WORK--wS~~ \...)QUl) UJ~ ~\N \~o~k \ &-~~c:Q~M1~O' f\\LD~~~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />'fR BUILDING <br />o ELECTRICAL, <br /> <br />PERMITS REQUESTED <br />\~\~,~~ VALUATION OF TOTAL CONSTRUCTION <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS '/ /"/----vr-----"\\ <br /> <br />,_e<"'- ...,.,....-_...~__ .' <br />/':>/ ,. " ) <br />v' ~... J i <br />/ N~ ' <br />l~/ <br /> <br />52.5c <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br /> AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br />$ VALUATION OF MECHANCIAL INSTALLATION if 3 50 Lj <br />o SPECIALTY 0 OTHER <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />o STEEL <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 />COMP~~~ ~~+.l1~AlY0~ (0 ,~, <br />6~~ . STATE CERT OR REGIST) # ~~~3:. <br /> <br /> <br />.........................................*.....~~ ~~ <br /> <br /> <br />COMPANY liP 'PI/lt q ~O f <br />II r)-f~to~Y '({L~ <br />STATE CERT OR REGISTC11 .~ b <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <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 />