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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 />/)..- ;J9-, <br /> <br />PHONE CONTACT FOR <br /> <br />PERMITTING <br />"'~ <br />PHONE a \ ~~ 1 ~ :<.--13 0 l <br />Q/~ 5?/~- Iffq:r- <br /> <br />OWNER'S NAME '3\)S. t\ <br />JOB ADDRESs40L{ ~ \ <br /> <br />\B-tt~~ <br />C ~'f\-NlC~c)~ f\ I <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />~LTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />XOMMERCIAL <br /> <br />o MOVE <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOM <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK F- \ RE.. wf\ LL (> <br />1" 0"1 f\- L - (" I -- /"' <br />BJl-ILDIl{G srz" 5b ~ \0 SQUARE FOOTAGE lOa-Cro <br />\....0 N '- <-:-\ ~ "(\ p~ '\ t-\. <br />RESIDENTI)i: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (l) 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. .t;1i 0!2p" <br /> <br /> <br />{frG~ y.r'- fb4.-J i 1\J~ <br /> <br />HEIGHT <br /> <br />~ 6' <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 /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />~STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />1Il~1~~'["""!f~F~71';'FIi!"!:i'"" T--'r------~--- ,-~ ---- --- - - --- ~-;"'T"'\'"~:"';'"'"---;~-':''''"''T~"7'"''T'7r'"'-I-;;;i(7j!~""!ililiF:i"IIIill'_ <br />~f{liJ~~I~I:~I~ If,&~ ~liruilltl~:, ti;u~{"ji":;i'I' "I;"t~iffHj,~ri~;:, t . 'illi',~}~~J~'t;llt~f:U':~:~~~',1 j)' I,'~ ,1'1" 'ij Ii J;-:-" l'llit /~*~I h~~~t;lr~I~I~: ~::lrff~W1;1k1f:r!r:~,$ ~iF~J4f.j~~t'tff;lJ ~J~ <br />1~'Sh..~=~'il~':'.:tJ:t.:L.1.:!L1..L._------ __________ __.,_..JILl~j~"~;.; 1,"""", "N,I., "ii!fj[~IJ"[,,,. , .', <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />-crn2h Thq:~ <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />.~ <br />I~ <br />/ SIGNATURE <br />/ <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />~-~L~i:) <br />/./ <br />GNATURE <br />i <br />. ---~ <br />/f' MEC~~CY. <br />;(~;E <br /> <br />, <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />..' ',' - L\l\.p'\ Jl~'T;> I. ',ll. <br />, L~V\.rl't T-::.;'C' 11....u 1~/\x;:;::x4.c* * **~ *if *if.*** * ** * * ***** * * * ** * * * * * * * * * * * * * * ** * * * * * * * * * * * <br />f2:;h-- (l$7"it'-){j) . IrT 1ivt..1~ G j- }?Ul U? eeT <br /> <br />OTHER COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />