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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-Q021 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />DATE RECEIVED c2 -~ ~- Ds <br />PHONE CONTACT FOR PE:~ r? n ~ ~~7-Yli'jt <br /> <br /> <br />.- .', <br /> <br />PHONE ~ IS -- 99c;, ~.:2 7::5" ~ <br />I <br /> <br />\-ffi <br />"- <br /> <br />'7' j;> <br />:::::::S:::M PRD~.zr';~OTICEI <br /> <br /> <br />JOB ADDRESS Z <br /> <br />;fo 6er r J.. r L is'n'? ~-- <br />"'~ A.J~ <br />5 J'J '-{50 50 ";5 t!)c <br /> <br />OWNER'S NAME <br /> <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />o SIGN <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />g INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <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 />~OTHER <br /> <br />CJ RESTAURANT <br />DESCRIPTION OF WORK. S e.. r (.) r f ~ ,., r a-.6 J.. E.. <br />BUILDING SIZE L/,;;. ~ t./ y: 3 if ~ A <br /> <br />& HEALTH DEPARTMENT APPROVAL <br />/Y1 ",fa. ( HQAlJ er eY'l.-yNI/>:'L) <br />SQUARE FOOTAGE /0 ~ D HEIGHT /;2 <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. t <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. . fF14.. 15.2 <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~ J1_ <br /> <br />tJ~ 2 ~Zi ')C /9-J)f:: <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ 19)~~ :).-:;. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br />J-)f\J~ YlI\V)ll) \i'\ ~ 'YJP 11\ fVJ--( ~\J1 1\)2 <br />, {)i 4:,~ ,;7 J7JU' ,-r <br />VALUATION oj ME~HANCIAL INSTALLATION <br /> <br />~ OTHER <br /> <br />o ELECTRICAL <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />g 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 /> <br />~~ ~~ <br />STATE CERT OR REGIST # {'/5 c. ~ .5"'1 ~? -3 <br /> <br />*************** ************************************************* <br /> <br />ELECTRICIAN COMPANY <br /> <br />SIGNATURE 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 />