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<br />~ <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br /> <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 . .JL_ <br />DATE RECEIVED c;.I-,V- Og <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME?1:f;;; ~~---'1 ~ P~ONE. ff'/3-7,f'd, ..od'..z.s- <br />JOB ADDRESS ' ~~ ~~~~ &~ ~ f< <br />. I <br />LEGAL DESCRIPTION: LOT (S) t{;C:){I BLOCK 00/ cD SUBDIVISION DO/If:) <br />PARCEL ID # 05-~0 -,;;2.../ - oe>lD - Oc>/OO.- E>-f6~TilN FROM PROPF.RTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH ~- ~ <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />~MERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />EJ OTHER <br /> <br />~ <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br /> <br /> <br />'- d2 - (;juJ- <br /> <br />O~ <br /> <br />BUILDING SIZE <br /> <br />DESCRIPTION OF WORK <br /> <br />HEIGHT <br /> <br />SQUARE FOOTAGE <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 />~ECTRICAL <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />PERMITS REQUESTED <br />E)"U <br />$ j:;2,,()cJO VALUATION OF TOTAL CONSTRUCTION <br /> <br />~i0j AMP SERVICE <br />~lA- <br /> <br />o <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />Progress Energy <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />I S PROJECT IN FLOOD ZONE AREA 0 YES 0 NO <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />BUILDER .L /J If . ...Jf2 ' COMPANY : <br />SIGNATURE 2~d 7.~ STATE CERT OR REGIST. c..-1Jr!- /.::<...cm /0 <br /> <br /> <br />********** **************************************************** <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br /> <br />mfr-. ~~ <br />COMPANY ~ <br />-1"""'0 .3 '""' ~~~ <br />STATE CERT OR REGIST # ~~ / ~I ~ <br /> <br />**************************************************** <br /> <br />~ [A- <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />~(rr <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />, ~ * *,* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * <br /> <br /> <br />~\ I ~ COMPANY <br />STATE CERT OR REGIST # <br />