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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 aXH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DA,]~E RECE lVED <br /> <br />~-II-D::r <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />.---,--"---_.-----... <br /> <br /> <br />OWNER'S NAME It::("...... /-, (,;) <br />JOB ADDRESS --Z <br /> <br />-- <br />h I <br /> <br />/ . ! <br />L/L-" .. <br /> <br />PHONE: t /-3 -- Cj 96 - 7cJ15 / <br />a,ll ~/3-:23D-!ofo91 <br /> <br />-'-~~ ...-.. <br />ON- <br /> <br />LEGAL DESCRIPTION: <br /> <br />CPA~~E.L.?=~ <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />[J REPAIR <br /> <br />p[ INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br /> <br />o COMMERCIAL 0 INDUSTRIAL 0 SWIMMING POo:-r-;J ~t!f <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL JUv.n~ <br /> <br />DESCRIPTION OF WORK ,<) ~ / u 0 r.;? Co ,... -;-C~ 6 I ~ /7.'1 ?JJ ICt I h a /U 101"- <br />./ , , ,~ <br />BUILDING SI ZE L/ &. X L/{) ) A./ r SQUARE FOOTAGE /7L6'O HEIGHT Iii" <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 GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />PERMITS REQUESTED ~(p1"'- ~:PL <br /> <br />VALUATION OF TOTAL CONSTRUCTION ! ~~ <br /> <br />AMP SERVICE 0 Progress Energy 0 ~I.~C. <br />HM- Of17' <br />tJ.orJ 'tt..::.{ }4--L. <br />VALUATION OF MECHANCIAL INSTALLATION.rl.~~~ln~ <br /> <br />N OTHER pro tI\ "T-' <br /> <br />o FRAME % STEEL 0 OTHER 1 ;lJ2-j;4) T " <br /> <br />~BUILDING <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL $ <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />_~~...'1~~~..~1"~;:"""rr--~-----~~ ---~--~ -- ~ - ~-~~<r";:~'r.7.;0::0iCi12~~:;-;"Jr1Y!:;TII ilu "~: <br />Hf'rn f" ,;j~~.1t:li~'!i~ "I;kl:llilj'l",1 ~ ",J" I, r[ ,I :"<lift I ",!ir 'iii\ "~""",ll,""I'I'~iL'J~,!i!I fH ,i!!Ji1@ <br />~~~~~1f.t!:~!ldL_ ~.~_ _ _ _~__ __~_ _.~ __J!1ltljili~ti1t W"ii+q ~ l~llEY!l;"t't~rn~i dW*5~ ot' ji"r. w,w.. ~~~'ftt~l"l!_ I I \ <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY. (.p "1 ,.. '1 "p <br /> <br />(6.-.<:/... <br /> <br />J ./'? (' <br /> <br />BUILDER <br /> <br />~.. <br /> <br />STATE CERT OR REGIST # CJ~ L DS Jr:J.. ?? <br />- <br /> <br />* **************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />4//1 <br /> <br />STATE CERT OR REGIST # <br /> <br />*****************************************************,k************ <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />11Ift <br />I <br /> <br />STATE CERT OR REGIST * <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />t/fl <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />