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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 />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />~ <:.. t\ <br /> <br />PHONE <br /> <br />JOB ADDRESS 3'7'4!:l;J. L{)L~f:\,J. ~'f...\.H>"t CT- <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL 10 # J{) -;:l(n-d.. 1- (')l'd{J- DOOo('\ -II 5 {\ <br /> <br />SUBDIVISION l.D~{)fS: IA.Y"~ 0lAN::lt<... <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICE) <br /> <br />o SIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br />o MOVE <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />o DEMOLISH <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 />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />BUILDING SIZE .Q~ <br /> <br />RE-~~ <br />O'S <br />. <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <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 />o GAS ~OFING 0 SPECIALTY <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E,C. <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 />I' ~=-r;mrJ'."'''"'7'''7;'""7'7'";~'~'''''''T'""'I~--;-"''-'7'''''''''''''''---''''- ","~~ -.----.~ .-- --- -- ,,- - - ___eo'. ,- ____e_ .."" .. e-'--' -..-'. - .-' -,r..1--....-;~...T"f1!~1c1hi ~ <br />,"I'" II}g141 H1~l-iW~r 'l~,;V." I' ','illlll 'I~ I, 'I" 1,;111 I ,t I,l 1 i ' \1', I J,: II ,:t;~,ll llllil'!I'IE~Jj~. ! l!r:'d.~~;;'~ll~fu!!;:Jl~ <br />~F,lffi'iiim"I'P\IIV ,'o,",m I ,lOti!' 'I ",, h"" l' 'I ' , , I' ' . ' , , , ,.' I'~ I "' "" 1'\1' <br />~~~~;,t:dilii1E':l~~:JL:.,:,'b.:ik,,:,,.t~,,-J1::'!...21i~~- _._ __ ____ __ ___'_ ____ _____ -- --- _~_~~.J~2:.:i..~l;: <br /> <br />BUILDER <br />SIGNATURE ~- \ 0r- <br /> <br />COMPANY 1..J ,~ L)\="A1"'\~ G~I J <br />STATE CERT OR REGIST # c.Pl' oS ~ I f; ~ <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 />