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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 />/" :2&-lJ~ <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME~~~ ~~HONE 8'e-7~-D1'$ <br />JOB ADDRESS &,ct -&> .'" , cL 1 3.~ I~ ( <br />LEGAL DESCRIPTION: LOT(S) (L;~:::t~1J BLOCK ceori'VO SUBDIVISION fYD/D <br />PARCEL ID # Oc::t.. ~/P~-ecIO~~OD- 2IDS-e> (OBTAIN FROM PROPERTY TAX NOTICEl <br />WORK PROPSED: DNEW CONSTRUCTION ~TION o ALTERATION 0 REPAIR 0 INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />OMULTI-FAMILY <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br /> <br />~R <br />~ <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK~ ~\t:t ~~cQ~~ '0 "'-- ~ ~~~ ~:; <br />I~.:!'J. . <br />BUILDING SIZE :3td8'f" '3g~ 4{ SQUARE FOOTAGE a #f <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 ENERGt FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. ~LLi)\L e:;;f <::::w ~M::> ~...._ <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. .11 iT' .. t: !\./ 11~' I I t'<:..Jl.fV\l.l <br />I c...~7 " ,..-,~ I f' '''' t.t,- 'T- J:..r <br />i )~t IT -qv <br /> <br /><.Y:.. '7 i ./ ~I <br />HEIGHT 7'" <br /> <br />~DING <br />~CTRICAL <br />bYPL'UMBING <br />~ANICAL $ i~OoD,es. <br /> <br />o GAS ~NG 0 SPECIALTY <br />TYPE OF CONSTRUCTION:~CK <br /> <br />PERMITS REQUESTED <br /> <br /> <br />$"- :::s/~ Drf>E;; C;; VALUATION OF TOTAL CONSTRUCTION <br /> <br />Sy~ AMP SERVI~E 0 Progress Energy 0 <br /> <br />Nt-C. <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANCIAL <br /> <br />INSTALLATIO~~ <br /> <br />o OTHER <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />~ <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />SIGNATURE <br /> <br /> <br />BUILDER <br /> <br />SIGNATU~~ STATE CERT OR REGIST t~(!?. 1~5cf:iJ'f <br /> <br /> <br />******* ********************************************************* <br /> <br /> <br />COMPANY ~~~ <br />STATE CERT OR REGIST # 2 c.. I~ LtD <br /> <br />-- <br /> <br />MECHANICAL <br /> <br />CX)1)~'f <br /> <br />************************************************** <br /> <br /> <br />OTHER ~ COMPAN-::fi:.lI'(m~dlL <br />SIGNAT"R~~,)' .~ STATE CERT OR REGIST i (!U. 13~b~ <br />