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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 />PHONE CONTACT FOR <br /> <br />"f ~ 1"'"7 - CJ S <br />DATE RECE IVED -< <br />4b{-~f6v <br />PERMITTING tJ/~ (/ <br /> <br />JOB ADDRESS <br /> <br />D V1t:: N.i I ~ ru--H1 <br />3~ ~V? ~b><\^I~J7 P-~ <br /> <br />PHONE <br /> <br />~l7_{~8- 666. g <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID # 6"2-.... u- ~(- 6 Z!IJ-!'nBn..... lID 3<1 <br /> <br />SUBDIVISION f) laf-rtlf!JP <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />~NSTALL <br /> <br />DSIGN <br />PROPOSED USE: oSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <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 />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />;Z//L 7 IJVtMJrw5- N~ L~ ~ rz!IJ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <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 />&~1) SET ENERGY <br />FO S. <br /> <br />Ce6.~~ <br /> <br />FORMS. <br /> <br /> PERMITS REQUESTED <br />yYBUILDING $ ! y,/7J I (:,. b VALUATION OF TOTAL CONSTRUCTION <br />o ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br />o 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 />~_:__~-_~:u:_:::~:~:%~..'.~~__~~:_:~~"~-:~.~:-,_~-:~~~_::q~.,~'~.___ ." _... .',... . .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 />OTHER ~~ INe.- COMPANY ~/j- ,~~ I~ <br /> <br /> <br />SIGNATUR ~~-vY\ STATE CERT OR REGIST # tltt..6 r?-tIt f <br />