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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 RECE IVED <br /> <br />II-II-liS- <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME 6.r-,..~J !-IO/t..":c.A:> <br />JOB ADDRESS . 37'-1<< &-: I ( IJ u "'"""- <br /> <br />PHONE <br /> <br />L ,;7 I "jJ ( <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: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~ILE HOME <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK It( If <br /> <br />BUILDING SIZE <br /> <br />'27k:<(7 <br /> <br />SQUARE FOOTAGE <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 /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <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 />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />/D <br />VALUATION OF MECHANCIAL INSTALLATION /~? <br /> <br />o OTHER q1~ - :J . <br /> <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />~=~~~. ':~~'",~~-~~:.~_~~~=~L"h'~'~'~:~~~:~=~_-~~'~~~~ '__ -, _-,~_ -~, ~, ~-~_~_~, ,__:_i=-~~,-,,-~~=~~~~~=-~,:=~,=~; T' -~~~;~!~ <br /> <br />SIGNATURE <br /> <br />COMPANY LJ~ <br />0Jr-~ STATE CERT OR REGIST I l}!'l pJ."3;{ <br /> <br />********************************************************,**~~~;l;* <br />(lUvu, ) . <br />COMPANY .I4c- -e.. t~)(1- ~fl(/'L~ ~ <br /> <br />w~~~ <br /> <br />STATE CERT OR REGIST # <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />/J~ <br /> <br />SIGNATURE <br /> <br />l,..J~ LJ~ STATE CERT OR REGIST # <br />********************************************************~~*~****** ;,{ <br />'5 'I Jv- LV.ff, IJ-,-"",t <br />COMPANY He.... L. ... u..)L-. pir <br />tJ~~~. <br /> <br />MECHANICAL <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 />