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<br />CITY OF ZEPHYRHILLSPERMIT 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 />-- - <br /> <br />DATE RECE lVED d -; b2 - 06 <br />PERMITTING B/3-- u(7~~~ <br /> <br />JOB ADDRESS <br /> <br />5CtlLr:;lJ>~ <br />1-6'7'z...3 1~'Il, <br /> <br />~ <br />/p/ <br /> <br />PHONE <br /> <br />B(~~~-O/~ <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />//,zfo-7-/- ffl)/O- D ~nJ-() / 10 <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />[]ADDITION <br /> <br />[JALTERATION <br /> <br />~IR <br /> <br />~STALL <br /> <br />[]SIGN <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />o MOVE <br /> <br />[] DEMOLISH <br /> <br />[JMULTI-FAMILY <br />[] INDUSTRIAL <br /> <br />[]# OF UNITS <br />[] SWIMMING POOL <br /> <br />[] MOBILE HOME <br />[]OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />itl,G tf {lv1M?r04r In ~ ~ t:lt> <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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~ RMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. ~, <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. G:, () .. .",0 <br /> <br />flj,l)& <br /> <br />[J BUILDING <br /> <br />1365, ~ <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[] Progress Energy [J <br /> <br />W,R.E.C, <br /> <br />o PLUMBING <br />[J MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J GAS <br /> <br />[] ROOFING <br /> <br />[] SPECIALTY <br /> <br />[] OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />[] FRAME <br /> <br />[] STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES [] NO <br /> <br />:;~ ..~-- ~"'-'-~-rz..,'~ ~,.,.......,.......-. ~- -- .~...._...- ---~-~--.- ~=-- ~...~, -~~- - - ~ - ~ ""............., -- -~ ~ '-'--:;- -...~.. --~~ - ~ -~::-"""-: -- ~- ~ -~:711"\.~. <br /> <br />lie ~~_~_ _~ ~_...!. ~ "'" ~ __ _-'-'......, . ~~ __.. __ ~ _~ ~ _ .~._ + ~ . .__ ~ _ _ ~ _ _.... _. ~ _..... ~. _d _~ ~ _~ _,~ __~~_ __~~i.~..l:..i:..l.:"'''- ___,,-,-. <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 ~:~*~.**~**;;::***;;~**********...*....************i*~~~~::*~~;;~;~* <br />- I Iv' u, V"~ COMPANY L/fl,t';:.J .,."""~ I fl/V- <br />SIGNATURE ~ ( STATE CERT OR REGIST # Lf1~ IS~ r7'1 ? <br />