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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPAR. TMENT 5335 8~ St, Zephyrhills, FL 33542 ~. ~ <br />813-780-0020 FAX: 813-780-0021 U z.. () ~ <br />~ DATE RECEIVED <br /> <br />C V s &f~;;. CONTACT FOR """"","G Z<oZ: (.,S 3..qQ/lb Jd (p <br /> <br />OWNER' S NAM~A~RtoJ)J-'1tMp t{ 0 t\tS ~~(b1' PHONE 1i:n l<<Jl.. 4 tv'S <br />JOB ADDREss31Q43 ~.'a~ &\~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL ID II 03- -2L~ - 21 <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />OCt 0 -a.;..+Q)-co~ (ORTATN <br /> <br />FROM PROPFRTY TAX NOTTrF\ <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />I!IALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: 0 SGL FAMILY DWELLING <br />teCOMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />o II 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~~~.r A\~,oJ \~ <br /> <br />BUILDING SIZE <br /> <br />f.-' <br /> <br />SQUARE FOOTAGE <br /> <br />'Oqi)~ <br />) <br /> <br />HEIGHT <br /> <br />- <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) ~~S.-tJ/A <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIREu. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />tf2Il..ELECTRICAL <br />~PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br /> <br />,,[- <br /> <br />v <br /> <br />I i'tl /;4 <br />10 <br /> <br />@ BUILDING <br /> <br />$ ":xJ, 0 et:::) <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <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 />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />SIGNATURE <br /> <br /> <br />v <br /> <br />BUILDER <br /> <br />STATE CERT OR REGIST II <br /> <br />SIGNATUR <br /> <br />*********************~::::::~*~*~;;r~********** <br /> <br />STATE CERT OR REGIST II E(. ':tx>2-\ 2.L, <br /> <br />~ <br /> <br />J.' <br /> <br />'L..... .:.........:....................... :::::::....... ~.. p' ~:b\ . rJ uP +0 <br />","'TORe m\ ~ WlQ~Oa\!) 'Tm c~ RemT' ~F WI ~o: ~. <br /> <br />****************************************************************** <br /> <br />MECHANICAL--.J. <br /> <br />SIGNATURE fA <br />, <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST II <br /> <br />* *************************************************************** <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY <br /> <br />OTHER <br /> <br />STATE CERT OR REGIST II <br />