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<br />... <br /> <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/;1/ .. <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME~~..t-r~I~ .1h<L. PHONE tI3..:.7'S,;;-O?~6 <br />JOB ADDRESS 31.3 ~ ~ ~e-I41~ ~, <br />LEGAL DESCRIPTION: LOT (S) () %" (:) BLOCK([i]l;(:X:) SUBDIVISION () Iso <br />PARCEL ID #E~5-d.-/- Ol~O~-fYI5'() (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~EW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br />PROPOSED USE:~L FAMILY DWELLING <br />~DCOMMERCIAL <br />'~ <br />(f)...r... ~ D <br /> <br />DESCRIPTION OF WORK <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br /> <br />RESTAURANT <br /> <br />HEIGHT <br /> <br />~/ <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 />~LDING <br />~CTRICAL <br />~MBING <br />~ANICAL <br />o GAS ~FING <br /> <br />$ <br /> <br />PERMITS REQUESTED <br /> <br />I /5; (f)OQ, 0 c) VALUATION OF TOTAL CONSTRUCTION <br />cs<Q!) <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />Progress Energy <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />$ '--~~ DODD VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: rB"'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 AREAD YES ~ <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # ~~ ()35/ ~c...f <br /> <br />ELECTRICI~"'HH* H ;;*HH"=:::::::~*f;5*;;;:;;;;t!~o~ <br /> <br />SIGNATURE ~u ~-- - - STATE CERT OR REGIST * 2R tfi)rtfs 9/ <br /> <br />PL~R ;***~*;*:**:;:*~~*=*::::::~*Z~\*i~*\~~ <br /> <br />SIGNATUREr.::/:2~ " STATE CERT I :l6&O <br /> <br /> <br />******************************************* <br /> <br /> <br /> <br />MECHANIC~~ <br /><:' 0 ^ <br />SIGNATUR ' STATE CERT OR REGIST # lV <br /> <br /> <br />OTHER *****:*H* - *HHHH"'HH*"':::::;:*~*~~~cl <br /> <br />STATE CERT OR REGIST #~. /g:;. b"SCJS' <br /> <br />COMPAN <br /> <br /> <br />