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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~H St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />OWNER'S NAME <br /> <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />~~ <br /> <br />PHONE Q(3~7t'~-Od~ <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />b ;r -2>-6 -d-P ._ 6910 .~. bc.O DOC}-"-;:' <br />PARCEL ID # tDc:2-::Ho-a-l- ()om -o~ 6 OI.:v CC>s;7.) <br /> <br />WORK PROPSED~ONSTRUCTION o ADDITION <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ALTERAT ION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br /> OSIGN o MOVE 0 DEMOLIS~ <br />PROPOSED USE: OSGL FAMILY DWELLING ~-FAMILY z:;r( F UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />DESCRIPTION OF WORK t)~ ~ J:3~~TH J;::;i~cd ~ 6 # .~ <br /> <br />BUILDING SIZE /d 0;)(...' (f2 C> SQUA ...JFOOTAGE 0,t-lot/ HEIGHT f?/'" <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 />. <br /> <br />PERMITS REQUESTED <br /> <br />~ING <br />,E(ELECTRI CAL <br />~LUMBING <br /> <br />$ 30DJ Df.>'Z:.> ~ <br />I q:::::,t:5> <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />~C>'Z> <br /> <br />YMECHANICAL, $ ~ <br />o GAS ~FING 0 SPECIALTY <br />TYPE OF C~NSTRUCTION: ~CK <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />~ <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />BUILDER COMPANY <br />SIGNA;URE'blJ. ;~6~ATE CERT OR REGIST t C/f!- 035'&'1 <br /> <br /> <br />************* *************************************************** <br /> <br /> <br />ELECTRICIAN /~.I! d: . ~ A COMPANY '\'1\ ~ ~ <!C3 <br />SIGNATURE c1:)~ if )J~ STATE CERT OR REGIST #c:~ I~l~ <br /> <br />PLUMBER <br /> <br />.................................. :::::~1< 'W~ ~ <br /> <br />,~~ STATE CERT OR REGIST #~~ f.-{.;;l;IoD;;;;"" <br /> <br /> <br />************ *****************~******** <br /> <br />SIGNATURE <br /> <br />OTHER <br /> <br /> <br />~ COM PAN <br />" A .. -. STATE CERT OR REGIST ft e!~ /8> B~77 <br />......:..... ""'''''''H'~'HH'H'H::pHHHHHnH-::-:A' J <br />COMPANY <br />STATE CERT OR REGIST oft ~ ../~ d S:-SO.5 <br /> <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br />