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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 <br /> <br />3;1p5 <br /> <br />PERMITTING '1 Of-{ - 1l/1( / l./2.fti <br /> <br />DATE RECEIVED <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PHmP~SCO PERMIT SERVICE <br />1-800-824-7894 <br />Toll Free <br /> <br />SUBDIVISION cme r~1I '!V//Jk <br />,el/ ~.[()/'f <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />OWNER'S NAME )/a..-fY'!j I3rJttJ/N <br />JOB ADDRESS JS-~ P-tI'L'r4f ~IJ e <br /> <br />PARCEL 10 # <br /> <br />rJ.47 <br />~'I." ~& -&1-/- (X) 70- O()aX) - J.-'I7 () <br /> <br />BLOCK <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br />o SIGN <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: ~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI - FAMIL Y <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />}~ )l-J~ LIL/JCLi <br /> <br />BUILDING SIZE <br /> <br />/61 )( 3rL <br /> <br />SQUARE FOOTAGE <br /> <br />.3/'1 f <br /> <br />HEIGHT <br /> <br />PERMITS REQUESTED <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br />/57, 5'> ~lOL <br />/} ~ >..;::. ~U;L <br />57 . ~'''' pl.r1\ (; <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 CONSTRUCTION. <br /> <br />'Fp BUILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />Is-. COO . Of <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <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 />/ SIGNATURE 11...') -:?J. .8~ <br /> <br />COMPANY <br /> <br />()t{))J r <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />-SIGNATURE :zI.7 11113~ <br /> <br />COMPANY <br /> <br />() CUM r <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />alUM r <br /> <br />PLUMBER <br />SIGNATURE .-:2/...7- 1/ ,8~ <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />