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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 RECEIVED <br /> <br />:Lf'f/() r; <br /> <br />q;::;cv-<-J&~::~OG<R- ~~-.-,..1~'j,ii ~RMITTING <br />OWNER'S NAMEKe-<Jl'~ ~c..---l ~~ , PH~NE -j?f3-7R';)'-Od'~_ <br />JOB ADDRESS~,b ~_~ ~ "",d-~ tJ~of~ <br />LEGAL DESCRIPTION: LOT(S) ~.3z:> BLOCK DDbCO SUBDIVISION 0 era' <br />PARCEL 10 P~-d.2-!o -dJ.J -&uOJ~OO-UD~D (OBTAIN FROM PROPERTY TAX NOTICEI <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />o SIGN <br /> <br />DADDITION <br />D MOVE <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />D INSTALL <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />DMULTI-FAMILY <br /> <br />D# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br /> <br />~THER <br />Si~ <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK .........., SI ~ - ~~ <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 <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 CONSTRU <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CO <br /> <br /> <br />ENERGY FpRIj,S IJ <br />(L~V/Lr <br />2/ L~,k{ <br />l1rb <br /> <br />PERMITS REQUESTED <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 />g""2 :5~ I3\J)6- <br />? t).;;:'~ p-lJ'~-(, <br />J~- tpf4\;l1f?\t <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 />D STEEL <br /> <br />~R ~5t~ <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />~~T-----~'_'_ --;J--------- - - -- - ,_ -.-_0_- ---I --P--'-i""'--~;:r;)._"f"-'-'.iD'--'- <br />~~;'!j}}8~~~Kii~r;l~1r/i1~;,~,~fA.f~D~fj~;i;~JDiijill~~7;~~j~l~~'--:l-.~:.',;~'- --~ ~- r i" ~ 'r 1 i '1 C f .~l,;Gi'l fr(~' &n111_'ktt}lu~i~111;~~ihf~iJJ11!} <br />__-----....-~~_~1 lil"~,i,~JJ1~'jl~:~r.~1 '"0i~ii~~TJ;"Y'J-.,r:~~ ..\,;tit JJi ..~~(:';'~~ tJ1tl~;ri1'if~1~1( <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <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 />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />OTHE <br /> <br /> <br />Hwww:'~H:wHHmHH:::::N:;a',;::~ A &l <br /> <br />STATE CERT. OR REGIST '~L~~ <br />