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<br />CITY OF ZEPHYRHILLS PERMIT APPLICAT~U~ <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 0 It <br />813-780-0020 FAX: 813-780-0021 ~ ''1 / OS <br />DATE RECEIVED '-1 ;;J, I <br /> <br />PHONE CONTACT FOR PERMITTING ~ \ 3-U ? - 3~ <br /> <br />OWNER'S NAME <br /> <br />fv~\ t- I ~V~ <br />~e2,{ff) ~6/(V\'(~:P 1v', UfltVvhlll' <br /> <br />PHONE <br /> <br />~(~783---89.iS/ <br /> <br />JOB ADDRESS <br /> <br />fA- ~"ISv.V <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL I ~ # D Z- Zh -02-1 A - {0 g (j~ - [l) iZ-O <br /> <br />SUBDIVISION jI~~~ <br /> <br />{OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />o SIGN <br /> <br />o ADDITION <br /> <br />o ALTERAT ION <br /> <br />o REPAIR <br /> <br />f{INSTALL <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 />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />f-!.L- /)I{~ rvvS ~ M C/JfJN:rf. (7J ?-( CJ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE HEIGHT <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 />& (1) SET ENERGY <br /> <br />FO":!J) t' " "" '" <br />\Q\'G <br /> <br />FORMS. <br /> <br /> (71!-1'/ PERMITS REQUESTED <br />)1' BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br />0 ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br />0 PLUMBING <br />o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />o GAS o ROOFING o SPECIALTY 0 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 AREAD YES 0 NO <br /> <br />[~-~':_~~~";;:',~ ~:~.:_'~~.~~_-~==-~~,~""~~-_ .'._~. '._, ._~~-_ - , ,. '. _ _ _ '_~~.~,':.,~~_~~~~.-"~'_~~~~~~_~,~-_~~=~2~;) <br /> <br />BUILDER <br /> <br />COMPANY <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 />OTHER <br /> <br /> <br />STATE CERT OR REGIST # <br /> <br />* * * * * * * * * * * * m,ki *i!i:~~:::: * Z;;~ij * *~ 1;;;* tT <br /> <br />STATE CERT OR REGIST # <br /> <br />II1L <br /> <br />C./ZL 6J-rf L i / <br />l11 ()131a:, , <br />