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<br />CITY OF ZEPHYRHILLS PERMIT APPLICAT~UN <br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />PHONE CONTACT FOR <br /> <br />DATE RECE IVED Lf - ( :{ - tJ S" <br />PERMITTING g J~-'Z b7~ 1-f61, <br /> <br />JOB ADDRESS <br /> <br />~(jf'ftS/ j)6~-r)f'( <br />~ 8 "3 ~ ~ IIf:n1 /Jv1lJJ (l L <br /> <br />PHONE <br /> <br />8J~ :-1?~-qsgb <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />^ Z... Z-b _2.- 1-- 6 v Iff-- tnJ /cn -dJD $,.0 <br />PARCEL ID # u <br /> <br />SUBDIVISION <br /> <br />j) Ill1'-1 wTJP <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: o NEW CONSTRUCTION o ADDITION o ALTERATION o REPAIR o INSTALL <br /> oSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: oSGL FAMILY DWELLING oMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~/)L <br /> <br />1 w/ Ivj)~ , <br /> <br />I <br /> <br />M~.il <br /> <br />~j,~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />-'~.......-~ <br /> <br /> <br />PERMITS REQUESTED <br /> <br />J2(BUILDING <br /> <br />$ <br /> <br />17~J;. <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 />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o 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 />r-' ,....,...,.___,...-..o~~..."',.._.~""'~......._"~_~__,.......~..,_~_~~"".~,,.,0"'" ~~~ ~ ~ - ~~-~ ~V~_ -----~.~~ ~~... ~ ~-~ ~-~---- ~ ..T..."....-.~ <br /> <br />L~:_..__u, ".L:.. ~=~ _, _~_.._ _< _ _"" ~__. _ ~ ..h 00" _ ~ __ __ __ _ _ _ __ _ _ _ _ _ _" ~__~'._._'_L_~~___ _,~_. ~ _~,~.~__~_~-~~~l'; :i~ <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 />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />lER ~0- ~ I M.- COMPANY ~IJ ~~ hL <br /> <br />\TUR ~ ~ STATE CERT OR REGIST # Lft-.L t)Jr,t ltj <br />