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<br />DATE RECE IVED <br /> <br />1(~/1~br <br />/ /-/o-;2txJtf <br /> <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 PERMITTING <br /> <br />OWNER' S NAME-=rr') ~ (\ Q, ~ f\<c.- '\ <br />JOB ADDRESS b I 5- d, . I b -f4 . S + '2 -<---0 h "\. r- \.. ; I Ls <br />LEGAL DESCRIPTION: LOT (S) f) I.., BLOCK C;; SUBDIVISION ~ ;506. <br />PARCEL ID # (5 ~-~ b .- c:J \ - 0 0156 '-C'O';>m -(bib() (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />PHONE '[1~-1~3~9 3 b 1_ <br />--FI 3 ~ 5 LI-;;J <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />~NSTALL <br /> <br />DSIGN <br />PROPOSED USE: ~L FAMILY DWELLING <br />o COMMERC IAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <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 />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />\: \L (\ s -\-- ~ ~1)Q.\r'.. ~\ e-LA.-'~ LU l ,'- do w ~ . <br /> <br />0QJII) e S 'lZ-e. <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />(o11~~ <br /> <br />() 4)G , <br />!j? <br /> <br />rnlBUILDING <br /> <br />PERMITS REQUESTED <br />~8 "q~ J 00 VALUATION OF TOTAL CONSTRUCTION <br /> <br />$ <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS 0 ROOFING 0 SPECIALTY <br />TYPE OF CONSTRUCTION: ~LOCK <br /> <br />o OTHER <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />~O <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />BUILDER <br />SIGNATURE ~ <br /> <br />do ~ ')A~~t<~ <br />~ ~ ~~J' STATE CERT OR REGIST # <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 <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />