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<br />CITY OF ZEPBYRBILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 eTH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 ;Itb~~-l)Ji <br />DATE RECE IVED <br /> <br />PHONE CONTACT FOR PERMITTING , ML <br /> <br />OWNER'S NAME ~:; :f:.~s:' l~rd04=.=-- <br />JOB ADDRESS 3.7~_ Z_- e.-P~~~ <br /> <br />PHONE <Pr $~ j R ~ ---cJ <r~~ <br /> <br />LEGAL DESCRIPTION: LOT(S) ~~ BLOCK~ <br />PARCEL ID # 3f-d...b-;;;Li-O(OO--~~5 <br /> <br />SUBDIVISION~~~ <br /> <br /> <br />~ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: o NEW CONSTRUCTION ~TION o ALTERATION o REPAIR o INSTALL <br /> DSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL OOoTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK A~&{ n~ 'fa f'Y\.-ll'1 e~c::::+ .s~~~ ~ <br />4cO&'l.tc l~ 311,,/1' X' /4 I 437 ~r <br />BflIl,EHMG SIZE ~ SQUARE FOOTAGE HEIGHT G <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~&(.~~ <br />o BUILDING <br /> <br />~LECTRICAL <br /> <br />r'):.. ~8 <br />$ ;3.(;,/0 (sO <br />~fj;~ ""<t AMP SERVICE <br /> <br />PERMITS REQUESTED <br /> <br />/~~ <br />C/ (I/~ // <br />l -~t. <br /> <br />'- ..~-,- <br /> <br />o GAS <br /> <br />ld-ROo FI NG <br /> <br />$ 6~() <br /> <br />o SPECIALTY <br /> <br />VALUATION ~F ::::e::N::::::IO~ /K:;S~) --j <br /> <br />I f~:J(tJO I <br />VALUATION OF MECHANCIAL INSTALLA~"-_~~ <br />o OTHER <br /> <br />o PLUMBING <br />~CHANICAL <br /> <br />TYPE OF CONSTRUCTION: ~LOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />uvfuHER ~e..e-n.. <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />~ <br /> <br /> <br />PLUMBER <br /> <br />~ l f\- <br /> <br />COMPANY <br /> <br />.-- <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />.........................................:~.....~....... '~~ <br />~ COMPANY .4.,fs.~~" ' <br /> <br />1::.... . ...; -..... ...... . .. ..... .::~:: .~::: .~: .R:':I.::.: c::.~ ~e<lC;8 <br /> <br />COMPANY~~~'--~ <br />STATE CERT OR REGIST # ~ ~OS' <br /> <br />MECHANICAL <br /> <br />OTHER f\~ <br /> <br />SIGNATURE ...- <br />