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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 />OATH: RECE IVED <br /> <br />s~/os <br />/ <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />~~ <br />OWNER'S NAME ~ <br />JOB ADDRESS 50 ~ac.. (2.ycd Dr; ole.- <br />LEGAL DESCRI PT ION: LOT ( S ) 7 BLOCK 0.5 t/ov <br />PARCEL ID # 11f-- d..~ -CJJ - DIW - Q3q tD- {)ot../j <br /> <br />PHONE 8'l3-1Rd-O?d.5" <br /> <br />SUBDIVISION <br /> <br />orOD <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br /> <br />~HE~ <br />OfPt? e..- <br />---rra.. I / er <br /> <br />BUILDING SIZE <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />WORK ~<!.€-- ~(' /(2_1""' R ~cl? ,. <br />f / . <br />~ XC).,8 SQUARE FOOTAGE ~ y.. <br /> <br />HEIGHT <br /> <br />cf' l~ f' <br /> <br />DESCRIPTION OF <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 ENERGmFORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />3 h'hr. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. . '5. ~.J J ~_~ . <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br />~~ <br />I~ . 'AMP <br />m a~ <br /> <br />SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />~;ogress Energy 0 <br /> <br />W.R.E.C. <br /> <br />CJ1;"LECTRI CAL <br />~UMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF <br /> <br />MECHANCIAL INSTALLATIOrv/L{ Z '55 <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o 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 AREAO YES 0 NO <br /> <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # dC.-03S1sl <br /> <br />BUILDER <br /> <br />****************************************************** <br /> <br /> <br /> <br />ESLEIGCNATRTUICREIAN{-d~ -:1 ~ COMPANy~aJ-~~~ <br />~~ STATE CERT OR REGIST # f?e oor<!"9/ <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />{J ,- / _ COMPANY ~ W~~ <br />:J:::,~ ~~ STATE CERT OR REGIST # ,R:( t:J t;:i.';" D <br /> <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />