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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 I~ <br />813-780-0020 FAX: 813-780-0021 t 1 of <br />DATE RECEIVED - - <br />P/-l-5tO ~"'lr <br />PHONE CONTACT FOR PERMITTING 1-'illt,ld-ff~.!.f-1 tt:{Lf <br /> <br />OWNER' S NAM~t-a. p()lA...II.~ <br />JOB ADDRESS 3 ~ ~~ tAco.. {~ Dr. <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />PHONE <br /> <br />SUBDIVISION -:Dr!' 8-wDod <br /> <br />PARCEL ID # O~-~fo-;}'I-Od.7D-DOOOO- OOW <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o SIGN <br />PROPOSED USE: ~~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />IiM ADDITION <br />o MOVE <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o DEMOLISH <br /> <br />. MULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />0(1 X"~ b'\.. <br /><b )( ~lt <br /> <br />R~ u:>/ Vln~ \A)l'."dows <br />SQUARE FOOTAGE ~ 0 ~ <br /> <br />DESCRIPTION OF WORK <br /> <br />HE I G H T See. pl a.c.,...s <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 /> <br />jj tf7. 50 !3Lj)(,. <br /> <br />PERMITS REQUESTED <br /> <br />aBUILDING <br /> <br />$ (p 8ZO. OV <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />M OTHER ^1l.(..tM.~~C>(..""""'" <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br />m',':"i0J71''"'''ilir'~:-:::~I=n='~-J'''-;-.-:-7''7'''mr;~-;,,-' c....., --'j ---- --------- - - - - - ------ ----~:m~""""1!':"1'.=I~rlli!Th~"'iii'~~7'l'_ <br />ili::;,~r.~tg!l!%_r'i~ill!ili~ffMi{: t~I,."1~~~f. ~'j:;) ,J;-' ~,A:': 'f,~:f ,r~, ' ,J, t ~'j,~t,,,:/,~ i"l~~I~J.;,;~~"1f '~;t!!'f2~ltr./J",~~J-o:Il.t>:fF,iliiE;1"-t~cJi>~~ ~I <br />~~~~~zl2.xL1.~J;~~~~-c~~~~:"::~~~ ~'~~~'i1~...__~~~_"__~_~___ ~__ __~_ _ ___________~~~~::.'~121[~~:::~~~_"~ <br /> <br />SIGNATURE <br /> <br />~.:'; /I!.ft<- Jt. !(tr <br /> <br />COMPANY OUJ..1... St-o..-te A-1L.UM-(~ <br /> <br />BUILDER <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 <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />