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<br />OWNER'S NAME <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 ~0 <br />813-780-0020 FAX: 813-780-0021 ././ '11, t1 S <br />DATE RECE IVED '..,L1 tI-- <br /> <br />PHONE CONTACT FOR PElfD)\tt'UNGPERMIT SERVICE <br />,\ -866-824-7894 <br />rOIl Free <br /> <br />JOB ADDRESS <br /> <br />LO{J/f' !.fl'ry <br />,3-) oJ] /J.r; /'/c/-l. III lit. <br />30} <br /> <br />PHONE <br /> <br />SUBDIVISION E'/)v/U/I'!b/ltJle iCI/ <br />ERSOI'T <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL 10 # <br /> <br />';;<f- (':,2!c-eJ!- ()JJ){J- OOOOO~JC)70 <br /> <br />DSIGN <br /> <br />}iO ADDITION <br />o MOVE <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: oSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />tS t re€ /) <br /> <br />~()O/Y) Oil ~ )(/~'II;;q <br />\./ ~ <br /> <br />SQUARE FOOTAGE / dL6 if <br /> <br />(..() II {' /U .Je. <br /> <br />BUILDING SIZE <br /> <br />/0 1- / J- <br /> <br />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 />& (lftJ.ET ENERGY <br />FORM ' <br />" <br />~75 . ..:.:> 'J <br /> <br />FORMS. <br /> <br /> PERMITS REQUESTED <br />r:J.. BUILDING $ 3 lie. 7. or) 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 AREAo YES 0 NO <br /> <br /> <br />BUILDER - <br /> <br />SIGNATURE \1 ~ /)j~ <br /> <br />COMPANY <br /> <br />!3 CLh /' fJ Ata/H... II- C . <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 />