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<br />CITY OF ZEPHYRHILLS PERMIT APPLICAT~U~ <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />J/_(..,_t'~ <br />DATE RECE IVED r -<. <br />PHONE CONTACT FOR PERMITTING ff / -;.... Z( 7- ~46 ~ <br /> <br />OWNER'S NAME <br /> <br />/l:; (/L-/ j};vr.L <br />b b 2--1 ~ p~ N <br /> <br />PHONE <br /> <br />ff)>~1Bd--7~ <br /> <br />JOB ADDRESS <br /> <br />C,7 <br /> <br />LEGAL DESCRIPTION: LOT (S) BLOCK SUBDIVISION P n /~ <br />PARCEL ID # bZ - '2(o....."Z I.... () "2....-/ IS .-01J f1615-to"3>C/OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPSED: oNEW CONSTRUCTION 0 ADDITION OALTERATION 0 REPAIR ~NSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: 0 SGL 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 />D RESTAURANT <br /> <br />~/ /L- 1 /)tJ I MJrrv5 I <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />/Wc~ in yhtfA ~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLA3S & (1) SET ENERGY <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERG FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. . r1 ~~ <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~" <br /> <br />FORMS. <br /> <br /> PERMITS REQUESTED <br />Jr'BUILDING $ ;}-. ~ 7 t:, ,J VALUATION OF TOTAL CONSTRUCTION <br />/ <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 />: --~-~"'"~- ~~~~.~ ,...-..,........-. -........ .~~_r____-:__~~_~_ ~-~w.._ -, - ..- ~ - -~ ~~ ~- - ....,~~ ~~ - -'t-^'- --,----~ - ~~.t--:-:-~- <br /> <br />~~"".:=:~__.:~_;.,.~_'..:...~..oiid1~h=_~~~'.._~"" _ _j;,,_~~_~~"_!<.A.-_: ;;;~_"'_-.c...~_~__ ~ ~_ ^ _ _ _ _ _ _ _ __ _ ~ _t_~~_~~~_."'L_~_ _-<..-"'_ ___....... ~_.. ~-"--'______........~d~~~~ ?,t ~, <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 />OTHER fA **~**{;************;;:*********::~::::*Z;;;;;;;**~*~ / ~ <br />SIGNATURE J~ .. STATE CERT OR REGIST * {JjtL~~?'I/'~ <br />/ <br />