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<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 IVED <br /> <br />., <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br /> <br />PHONE ft~-'7g;;,>-O~ <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /><D..2- _..;;:1.(, -:::u - Qe)(D _U:;U:ICD --W ~ <br />PARCEL ID # to'"i-~~ -~ -4:>010 -O~"O'i> ,~ <br /> <br />WORK PROPSED:~CONSTRUCTION o ADDITION <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br /> DSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING ~TI-FAMILY ~F ~ITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT & <br /> <br />~ <br /> <br /> <br />HEALTH DEPARTMENT APPROVAL <br />,Ll~ ~1L\;. fS(- <br /> <br />UARE FOOTAGE t>/~~ HEIGHT <br /> <br /> <br />BUILDING SIZE <br /> <br />I~X fo0 <br />, (' <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 />P'ILDING <br />~LECTRICAL <br />~LUMBING <br />~ECHANICAL $ rg;~D-- <br />o GAS ~NG 0 SPECIALTY <br />TYPE OF CONSTRUCTION: ~LOCK <br /> <br />~ dp <br />$ . DI5b <br />1b0 <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 />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES ~ <br /> <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST # rli3r!.. 035 Id/J? <br /> <br />BUILDER <br /> <br />**************************************************** <br /> <br />ELECTRICIAN ~ <br />SIGNATURE {!:,~ .~ <br /> <br />COMPANY~~ <br /> <br />STATE CERT OR REGIST <br /> <br />c~ <br /># ~~ J$bo(?~ <br /> <br />******************************************************'k*********** <br /> <br />PLUMBER <br /> <br /> <br />COMPAN~A ~ <br /> <br />STATE CERT OR REGIST # c:..~ J+.zIoOd-- <br /> <br />SIGNATURE <br /> <br /> <br />************ ******************************~*!**~**** <br />MECHANICAL COMPANY ~ <br /> <br />SIGNATURE b~ ../J~ STATE CERT OR REGIST i ~M.., Nfl 5 77 <br /> <br /> <br />D * ** ** *** * * * * ** * * *** * **** **** *** ***** *** *;;P~***** * **{**b*~**:k* ::.jJ <br /> <br /> <br />OTHER ~~. _ COBPAN~ ~ . <br />'."TURE .b'&-lJq~'~~. , STATE CERT. OR REGIST t~ I::;: <br />