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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 />It) -).t;-Otj <br />DATE RECEIVED - <br /> <br />PHONE CONTACT FOR PE~Ti~G '<:::.i( I", "7.,.;l. ~~ <br /> <br />L_- ,.' ,;. ('1. . <br /> <br />L.,t u ~ <1", 'I PHONE d1. 1$1- 'i 'it; ~4 <br />\ /v! ....... <br />~'/ ;J · <br /> <br />OWNER'S NAME <br /> <br />2 e-,/) )}I./J~ /l.~ ( <br />, <br /> <br />~ De.? I;) TII <br /> <br />f <br />Co (/-" <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />~LTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />~COMMERCIAL <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 />D RESTAURANT <br />DESCRIPTION OF WORK ~~'-~C-~/,'C),A..I <br /> <br />& HEALTH DEPARTMENT APPROVAL <br />b I fJrcrA.,A...~ T~Ir<; .; cl?~~ S'vlll-/~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY F~S' <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. j:; &, D U <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. ~-ftAf IV / ~ <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCT~ ~Q~ l- <br /> <br />j,t9 ~ ~ <br />PERMITS REQUESTED \.;t fr vB <br /> <br />o BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> <br />0 ELECTRICAL AMP SERVICE 0 Progress Energy 0 <br />0 PLUMBING <br />o MECHANICAL $' ~Oil'~" VALUATION OF MECHANCIAL INSTALLATION <br />i1 GAS o ROOFING o SPECIALTY 0 OTHER <br /> <br />W.R.E,C. <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />'--.~ <br />//.. '" <br />/ \ <br /> <br />{J::Y <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <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 />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER (72~~rA~<9:-~ <br />SIGNATURE l..~ ~ . f2 <br /> <br />COMPANY A-/fi. e/'IJ J1I-S' ,/J/"&~;1~ <br />, <br />STATE CERT OR REGIST # (JO S- Ol-I? <br />