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<br />. <br />" <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE lVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME~~~ ~U{t].. <br /> <br />JOB ADDRESS __it' .,..~ <br /> <br />LEGAL DESCRIPTION: LOT(S) LBLOCK <br />o.::L -.::L.b -c9-1 - evoI"D ~(f'A.2 D eo 00::;2.0 <br />PARCEL ID # O~-.::LIa.~-'ef)/O -O.:LbOC-COS'D (OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPS ED: ~ONSTRUCTION 0 ADDITION OALTERATION 0 REPAIR 0 INSTALL <br /> <br />PHONE~V:S -If d- -0 d'~ <br /> <br />SUBDIVISION <br /> <br />OSIGN 0 MOVE 0 DEMOLISH J' <br />PROPOSED USE: OSGL FAMILY DWELLING '~FAMILY -E:t#' OF~ITS <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />D RESTAU~NT ~ HEALT~ DEPAR,:'MENT ~ROVA~ <br />DESCRIPTION OF WORK ~~~ J ~ ~/ ~ <br />BUILDING SIZE \ \ \ K ~7 SQUARE FOOTAGE ~Ol 0 <br /> <br />~!Jq -3- <br /> <br />HEIGHT c::? / <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 />PERMITS REQUESTED <br /> <br />~ILDING <br />~ECTRICAL <br />~LUMBING <br />~ECHANICAL <br />o GAS ~~FING <br /> <br />$ Qt(o,CoD cP <br />/08 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />Progress Energy <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />15DV,~ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: ~LOCK <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 I::JNu <br /> <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY <br /> <br />BUILDER <br /> <br />STATE CERT OR REGIST <br /> <br />#~_~<LOsS 13~ <br /> <br />*************************************************** <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY'/Y\~ ~ <br />STATE CERT OR REGIST # E C.- I~ /6ff:3 <br /> <br />ELECTRICIAN <br /> <br />PLUMBER <br /> <br /> <br />.**................:::::::.~~.~~ ~ <br /> <br />TE CERT OR REGIST # ~~ /ti..:.lS"" bo~ <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />**************************** **************** <br /> <br /> <br />L a4' J;, ~~ _ . ~ANY ~~'-' <br />,$/1/ r-ti~ SlATE CERT OR REGIST * ~ Ae.- Kf I <br /> <br /> <br />MECHANICAL <br /> <br />~HER -K HHH~''''HHHHH'''HHH'''::~::~~'''H!H <br /> <br />SIGNATURE ~ 'u,~"-,, STATE CERT OR REGIST . ~~~ Is.;:( .S"SDS <br /> <br />