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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 />PHONE CONTACT FOR P <br /> <br />ITTING <br /> <br /> <br />DATE RE <br /> <br />OWNER'S NAME 'EAST ~4~C{) M6t.lLAL "J=;NT,;;]<, PHONE <br />JOB ADDRESSSCDD()S ~ f3bR. ~ 1 !i(~E: 11<., <br />. <br /> <br />LEGAL DESCRIPTION: LOT(S) b)~r2-J3 i BLOCK SUBDIVISION~".{ tilJlPe <br />, 1 <br />PARCEL ID # JS; - Lt; - *2.1 - !/)~D -bUJ/J/) - [)"/) /J (OBTAIN FROM PROPERTY TAX NOTICE \ <br /> <br />WORK PROPSED: o NEW CONSTRUCTION o ADDITION ~ALTERATION o REPAIR o INSTALL <br /> o SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING DMULTI - FAMIL Y 0# OF UNITS o MOBILE HOME <br /> J(COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />BUILDING SIZE <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />J<1::ul~'S ~ Rs RDD~ <br />17'x 70' <br /> <br />SQUARE FOOTAGE <br /> <br />Grm /)..{:; Bu ILn./'" I; <br />Z.~'1D <br /> <br />HEIGHT <br /> <br />I~ I <br /> <br />DESCRIPTION OF WORK <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTI <br /> <br />& (1) SET EN RGY FORMS. <br />FO ~ <br />, <br /> <br />W <br /><g7?-~~ <br />~b <br /> <br />b('BUILDING <br />o ELECTRICAL <br /> <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />AMP E 0 Progress Energy 0 W.R.E.C. <br /> VALUATION OF MECHANCIAL INSTALLATION ~ '?~~~ <br />0 OTHER <br /> <br />o PLUMBING <br /> <br />o MECHANICAL $ <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 AREAD YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY ~n::R. L.hi.J~1"'r Co I <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />*************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />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 /> <br />~. <br /> <br />~;~~:':~:t: ''l~t' <br />