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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~H St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED. <br /> <br /> <br />E / " 2- d 6 & f4 11) I/V( ~ It,Y C/ ( / <br />OWNER'S NAME 71t tJ ~~..c 17 or k d b~~7,4, ,It:! k ij <br />JOB ADDRESS ~ 1- Yc'J Fr./:-, <I'~y ) rI ;z t-/~ tZy/C"~//~ rL ~~S-7"-L <br /> <br />PHONE CONTACT FOR PERMIT(N~ 7.[>/J-- t!J <br /> <br /> <br />_.. <br /> <br />PHONE <br /> <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # d)...r....J 6-~/ ~{!JCJ(!JCJ- &6J"p6it' - cPa!JO <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />\........ <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />ditADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: oSGL FAMILY DWELLING <br />21cOMMERCIAL <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 />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK If t/f/' I . 'II tV <br />BUILDING SIZE .y tJ "%4"(1 I <br /> <br />f 0 I/0B if IJ PF, 'c ~. <br />~tt <br />SQUARE FOOTAGE 0;/ ~ d 4- <br /> <br />HEIGHT <br /> <br />/d <br /> <br />I <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 <br />PROPERTY SURVEY REQUIRED FOR ALL NEW <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br /> <br />o Progress Energy <br /> <br />./ <br /> <br />o BUILDING <br /> <br />$ <br /> <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />7;.rcJd <br /> <br />, <br /> <br />.LE- <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />VALUATION OF MECHANCIAL INSTALLATION I <br /> <br />(i;j/~ i ot- ~0:~ <br />DOTH~ ll(.~ <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />o STEEL <br /> <br />TYPE OF CONSTRUCTION: tt BLOCK <br /> <br />o FRAME <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />ELECTRIC <br /> <br />BUILDER fi ___> COMPANyJ'dh.<1 I.. . r-~,';lA {It! ,.,.('~ ~~rc <br />SIGNATURE (~-/ ~ STATE CERT OR REGIST # ege {}S"7SI P <br />~ ****************************************************************** <br />COMPANY :;:::;-;:r~f CJ4.~ .a ~c61 ~ <br />STATE CERT OR REGIST # Ec ~5.?n <br /> <br />SIGNATURE <br /> <br /> <br />************************************************** <br /> <br />PLUMBER <br /> <br />c~t:-~ <br /> <br />COMPANY (?~~ If~ JlLtI~h6 <br />STATE CERT OR REGIST # (I rc Ie;:< 6 ~ 8'"2 <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br /> <br />********************************************i:;~************. *****/ /) i/ Af <br />" .. COMPANY tt5....J ..u 5 .or /'12/1., ~~ ~ <br /> <br />./// C/, STATE CERT OR REGIST # / go:( <br /> <br />MECHANICAL <br /> <br />**************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />