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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATIUN <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />PHONE CONTACT <br /> <br />DATE RECEIVED ,:; /;(/t;S <br />/ <br />FOR PERMITTING J51~q 15 ,A):J5) <br /> <br />OWNER'S NAME ~ Q- ~~ <br />JOB ADDRESS~5~l\ R\Abs1~r2 <br />LEGAL DESCRIPTION: LOT (S) cr l 0 <br /> <br />PHONE ~ 31 ~DC'1 ~ X <br />~h'f7/~~ Il~l PL (~~5Lf() <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br />WORK PROPSED: DNEW CONSTRUCTION <br />OSIGN <br /> <br />o ADDITION <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICE) <br />o ALTERATION 0 REPAIR 'b(.INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~OBILE HOME <br />o OTHER <br /> <br />D ~URJ\NT . HEALTH ~ARTMENT. AP!?ROVA.L <br /> <br />r^wtlJ ~ .J-f. <br /> <br />SQUARE FOOTAGE <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />HEIGHT <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 />'r6 BUILDING <br />16 ELECTRICAL <br />Q9. PLUMBING <br />'v. MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <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 />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />BUILDER <br />SIGNA;URE 0J-.~~ <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />*******************************************('\~******************* <br /> <br /> <br />L.J c..-- l'f' D -#) COMPANY LLl(..LA...c t.lll <br />~~ STATE CERT OR REGIST # <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />COMPANY fJU-J:t& 6i-eJ c) <br /> <br />STATE CERT OR REGIST # <br /> <br />PLUMBER <br /> <br />(P~~ <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />: **: ~ *** ~:*~.*-l!J*** ** ***. * * * * * * * ~;~;~~;* * ti~ * ~~ is * * * * * * ** <br /> <br />~ ~... STATE CERT OR REGIST # <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />