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<br />CITY OF ZEPBYRBILLS PERMIT APPLICAT~U~ <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 i..../_I ;l-()~ <br />DATE RECEIVED + <br /> <br />PHONE CONTACT FOR PERMITTING B/>.- ub1- ~4'>'Z- <br /> <br />JOB ADDRESS <br /> <br />!AJ '( S C tJ; ~y YVI110P <br />?:>8 ~,~ I 14-r; fM1 J:; p L <br /> <br />PHONE <br /> <br />f3/~7tf-136t- <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL ID # L>'Z-U -Z{-66tl) - rvMI{J-tf~!:tJ (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />oALTERATION <br /> <br />o REPAIR <br /> <br />~INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL 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 />~/I!- 3> lNltvPnv~ I All ~ h }?nItFl}- ~ <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 jORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. ~ <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ')~ <br />52., <br /> <br /> tN PERMITS REQUESTED <br /> 7~L <br />% 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 AREAo YES 0 NO <br /> <br />~~,~=_~~",:~~=:~~_- :=-~~~=~~.~-~~~ =~~'. '~=n_' - __. - _ _ _ __ _ _q - ~~'~~~'_~_~~~~~ '~~~~,~::__~'_~ -=,~_ .~~~_~.~~~1~~~:r 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 />::::Tu~J!i5Fi'~~"'H"'::::::::T~~:'~~ {~~ <br />