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<br />< <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPL~CAT~ON <br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL ::13542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br />PHONE CONTACT FOR PERMITlr~GS/3Edt 9sdO <br />. l0\LNo\-t+"lA-~ <br />OWNER'S NAMJ1o.~StiG (YJ--ILS L~G. , ,PHONE 137S3 15/ ~ <br /> <br />JOB ADDRESS '3Qs/J 1b.OdO)\ACLAYlQ LLAJy\.Q~ --z,~33SL/:L--- <br /> <br />LEGAL DESCRIPTION: LOT (S) &. Or BLOCK SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY. TAX NOTICE) <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br />DSIGN <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br />o MOVE <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />~TALL <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~~LE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~(A~ .~~ l.N'\~~~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br /> <br />u <br /> <br />PERMITS REQUESTED <br /> <br />o EL~TRICAL <br />~UMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLA'rION <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 AREAD YES 0 NO <br /> <br />':1 "'--r---"'~"-'"l"'-""""~"--'~-"""t-- "':-~""''''-''-'--t ~7~-~~-::tf...........- "',~~l~--- ---~- .~ ~-~ - --- -. - - --j"-'~ ...........~-.-~ --rr':"-;--"-'--~''''''''''''''''f--;'''''-''~-F-''~-:::J:l:~~ <br /> <br />t." ,,'~ I : j ~ I. " :"'fL' I { ~ I' ,~'v"i't ~Jl",:Lr.~t IIJ.11 '{flt~- iftt3t~1 ~:<:".' <br />~I ,t I t,t t " t l II l.1I . f , ) .'~ II ,~t.,. I.'" ,'n;.,...Ii If'\ l_l,L ~ 1'f'fi1~f~'tlf. .1;1,. tt <br />'1:""~":J..I.w..:u-""'':_~';''''':':''''~~_'-'_",".a.J.","~--,_'~.l':'.~__..~~~__...:...,,_..t:J...... _...w.c_.J-__._..___~._~ _ ~_._ ___ _ __ _ _ ___..... ~.._...J:.~u..:l.L..~~~itr1f ' <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 />SIGNATURE Mcu.c:Q ~\Jl~v') <br />- <br /> <br />COMPANY DeYv~ flJ (QQ~J0/L4/) Pi lvw\b <br />STATE CERT OR REGIST # (~[, I LfJC;:Y-ot) d- <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />*********. <br /> <br />,**************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />. .. T ... <br />.. '.' .' :..' .," .-.... <br />