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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />e13-780-0020 FAX: 813-780-0021 ,_ .., "-c/J <br />DATE RECEIVED /tJ 0<. r -:L <br /> <br />PHONE CONTACT FOR PERMITTING~ <br /> <br />OWNER'S NAME <br /> <br /> <br />JOB ADDRESS <br />LEGAL DESCRIPTION: LOT(S) 5(P BLOCK~ SUBDIVISIO ' ~~ <br />PARCEL ID # ~4--::l....t;5 -::;J-J - 0/30 ~-Q).6abBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: t?NEw CONSTRUCTION o ADDITION OALTERATION o REPAIR o INSTALL <br /> o SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE:~FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK ~ . (\ r~ c. I cJ~ <br /> <br />BUILDING SIZE W.~..I/ * 3'7" ~Ff SQ~RE FOOTAGE /~-e-'J? HEIGHT <br />. 'i.:J-: / '=' ,st:':!..A' ~ -e-" K~ . .::2....--' <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BfftL~~~LANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FO~r~"'~"-' "',,' <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. ;;::~.:::-;:' / "\" Y' <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTlj)'t. Lfld j/O(! Yf/ . <br /> <br /> <br />~ERMITS REQUESTED L~ J:J & q <br />IB'i3UILDING $ I~ OC:D VALUATION OF TOTAL CONSTRUCTION 5 ~- <br /> <br /> <br />j <br /> <br />~UMBING <br />~ANICAL <br /> <br />$ <br /> <br />d,~ AMP SERVICE ~ogress Energy 0 W.R.E.C. <br /> <br />5)ri:~ S)'h( I'M <... <br />~ ""l51fi) c..D M}W-6Y CI~L (~ <br />~------ VALUATION OF MECHANCIAL INSTALLATION ~~i~~J <br /> <br />o SPECIALTY 0 OTHER <br /> <br /> <br />~CTRICAL <br /> <br />o GAS <br /> <br />~FING <br /> <br />TYPE OF CONSTRUCTION: ~K <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES ~ <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />P~~J--'--"~ STATE CERT OR REGIST # ~ QS5;'/3'f V' <br /> <br /> <br />**********~~*~************************************************ <br /> <br /> <br />COMPANY ~< 9~ ~, V <br />STATE CERT OR REGIST # ER f:FD(tfS9 I <br /> <br />COMPANY <br /> <br />E~CTRICIAN PJL0~ <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br /> <br />****************************************************************:* ~' <br /> <br /> <br />COMPANY ~W~~ <br /> <br />STATE CERT OR REGIST # c..-~ I ~5 I.e 0:;- <br />V' <br />****************************~*****b*~~**~***** ~ I <br />COMPANY c ~ ~ ~~ '"b '!:!l..<J?- <br /> <br />STATE CERT OR REGIST # c_/l;C- O'fg. 4- 7~ <br /> <br />PLUMBER <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />OTHER Q~ <br /> <br />SIGNATURE -6 <br /> <br />* *************************************************** <br /> <br /> <br />'COMPANY ~ <br />STATE CERT OR REGIST # ~ 13.:<.G5 D5 <br />