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<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 />DATE RECE lVED <br /> <br />/o/<.,jpt/ <br /> <br />PHONE CONTACT FOR <br /> <br />PERMITTING 1 J7 cJ3 ~ q7/~ <br />~ ~..c;l~.k1 <br />:2 <;0 /z..'lr <br /> <br />OWNER'S NAME <br /> <br />PUbL IX ~4'LL~T.s <br />73:l. 0 c:T;H.i i)L i/1:> <br /> <br />/# <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL I D # 0/ () tJ <fJa? (J:Z'O <br /> <br />U'1/'/feJ{..(S C}747~' V <br />SUBDIVISION Cb/d4P~Y/~l>~ <br /> <br />WORK PROPSED: DNEW CONSTRUCTION 0 ADDITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br />~LTERATION 0 REPAIR 0 INSTALL <br /> <br />o SIGN 0 MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <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 />I ~/~A:. 4ft/0W'/f7le?~ <br /> <br />BUILDING SIZE <br /> <br />.511< <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />/ STm- Y <br />/ <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 />o BUILDING <br /> <br />t)- ~{~ . -hn~'\~ <br />4 r~ W ~~~i""'PERMITS REQUESTED <br />$_I~~Lt)t VALUATION OF TOTAL CONSTRUCTION <br /> <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />~'3 3r('d- <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <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 AREAD YES 0 NO <br /> <br /> <br />BUILDER <br />SIGNATURE ~'4' <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # CtiC 05'9731 <br /> <br />ELECTRICIAN ~l"~"""""""":::::::~i?::;;';;;::~'{.:;~;:'~. <br /> <br /> <br />SIGNATURE ~~ STATE CERT OR REGIST # <br /> <br />.--- <br />Jt.tC. <br /> <br />****************************************************************** <br /> <br />PLUMBER d // I COMPANY 6p fk,bt \>\,,\.....~\'~~ <br />SIGNATURE4-' ~ -( ~ ~ STATE CERT OR REGIST # ar~() ,!;n:oq?.~ <br /> <br />........;;....... ........................h...~............ <br />MECHANICAL COMPANY Qru.~VvT- <br /> <br />SIGNATURE <br /> <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />