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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 5 - / L. S <br />DATE RECEIVED -,/ >7/'t'J <br /> <br />PHONE CONTACT FOR PERMITTING B/~ 47- J,{lJz, <br /> <br />JOB ADDRESS <br /> <br />.(jeo~lte ?GuddJv <br />~ 8 z, L ( ~I)(- fA/tlJ j) ,f1V. <br /> <br />PHONE <br /> <br />~/~7B l- r;ee2- <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />6 z - Zb --'2-/- D 2(1)_ t)l) BIflJ- fly-It:> <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PnffrA4J <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br />[]SIGN <br /> <br />[] ADDITION <br /> <br />[]ALTERATION <br /> <br />[] REPAIR <br /> <br />~NSTALL <br /> <br />[] MOVE <br /> <br />[] DEMOLISH <br /> <br />PROPOSED USE: []SGL FAMILY DWELLING <br />[] COMMERCIAL <br /> <br />[]MULTI-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 />!ZI /L ~ IV/MJfVv8; M c~ ~ f!#vG JY Oj2MJ1tJ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS7j' (1) SET ENERGY <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY ORMS. ~ <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED, ( .~J <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. '\\ <br />o'-i . <br /> <br />FORMS. <br /> <br /> PERMITS REQUESTED <br />[] BUILDING $ Ilet::r hi VALUATION OF TOTAL CONSTRUCTION <br />0 ELECTRICAL AMP SERVICE 0 Progress Energy [] W.R,E.C. <br />[] PLUMBING <br />[] MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />[] GAS [] ROOFING [] 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 AREA[] YES [] NO <br /> <br />~'~~~=~-___:~~:=7::~,~_--=~.~~>-~..=~=~=~~~-. ~_~-. _,~ -_: - -- _ ____ ~ __ __ _ -l:~~:~,~,~-,:~:_~~~~-~=~~,c~~~,~~~:~,~:;~~: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 />***************************************************************** <br /> <br />~/A ~ / __A --I] t.~~ I/VL- <br />OTHER ,~ COMPANY t.--rrv:C, <br />SIGNATURE . .. STATE CERT OR REGIST # Lf:tC( 50 yy 1/ <br />