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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 STH St, Zephyrhills, Fl, 33542 <br />813-780-0020 FAX:S13-7S0-0021 <br /> <br />DA~rE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />Du17 nC. Auc1.l0- <br />19\\1 )1o!1: S~ <br /> <br />PHONE <br /> <br />t"J13~dllO Lj <br />J~3 Sy ~ <br /> <br />JOB ADDRESS <br /> <br />~h,-\"'1\,; n j <br /> <br />VL <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # (')d- - ~ - d \ - 0' %'\)-- OJ") OV' OGle 0 <br /> <br />{OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERAT ION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-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 /> <br />'1 -' ()',...'I ,u. '~--I '- ,. ^ <br />\..Y \..;:)CDd LL v'"'-'--t ~........-..-. <br /> <br />1 c1'~ ' <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <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 />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <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 0 NO <br /> <br />_"""""=~~-'~"-1- --- ..- -- -- - ------- - - ----. _.--.,...,,~.~-~!t"--~-_.~-._--,-"-- -~ <br />m~rrfit{WJ1J~ifn~I;~:ii~;~Pft~jjj;11M~:1iEtkirff'i~r~!ill~11\lt (1. 'Il l y~ 'h, h" ~j" - j',<:l' , "j1t~ f~<l'\',FiI~AB~Yi ~~ t' , <br />~~1i~fJ!~~~l1~.J.l __ __ ~ ~~____ __~___ _ __ ~___ ~L~ \f~t~~1~~1'f ~:f}~1f~~~fr;;~r,'lW ~f~ t~, ~ ~ <br /> <br />BUILDER <br /> <br />(' <br />( <br />i <br /> <br />COMPANY <br /> <br />fIo/l'lSi..Dl~ <br />. <br /> <br />SIGNA TURK <br /> <br />, <br /> <br />^k1~ <br /> <br />/I <br />~~ <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 />