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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATIU~ <br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />d- ~ {I-U:) <br /> <br />PHONE GONTACT FOR PERMITTING /?13 Sib '9 (')3 '-/..0 <br /> <br />OWNER'S NAME /ll/C/j 4~-L -.J--, J)jy.-< / 0 <br />JOB ADDRESS :3 '7 /. 33 ?~#J)o ? '- <br /> <br />PHONE g /3 LIb 9 0..3 Y 6 <br /> <br />. <br /> <br />2r~//f'R.I/I.L/..5 ~:z ::::fdF9'';;; <br />SUBDIVIsIO~2rp #~r )(!/J)0~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICE) <br /> <br />o SIGN <br /> <br />o ADDITION <br />o MOVE <br /> <br />OALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <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 />])/:../ VC ivl7tj <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 />~~mILDING <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />./'-- <br />$ r, ~ ~o' d O,O~() <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br /> <br />PERMITS REQUESTED <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 />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />I S PROJECT IN FLOOD ZONE AREA 0 YES 0 NO <br /> <br />1i':;~~"T"im;~~-:-:~""""'-7-;-7;"'7T~-'-~"-'-",",-~r--~-'------- -- - -- -- -- -- - ---- ,,- .--.----: -, - - .-'"~-: --.,- ~'1~1.,~"['1Ir:;,--;-;-,ii1Jl'f1iilF~ <br />l~~~~I~~~~~i'~h:ri.~~~I.,.~k;~L___" __ ____. __ ___ _, ___ _ .-" -- __J~__ ~~iJ2~ril~~~~:~~ <br /> <br />BUILDER <br /> <br />---' <br /> <br />SIGNA;U~ '. ' <br />j/ <br /> <br /> <br />COMPANY )/" ~Ut?_~ <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 />