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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 />DATE RECE~VED <br /> <br />PHONE CONTACT FOR PERMITTING ?JJ?J 7<;J;) -CjS;;{) <br />1ZcJ< NifJhyuO <br />OWNER'S NAM~stJt~C-- .' _ P~ONE ?l~?;~3 FJSf?? <br />JOB ADDRESS~ }~-----1.1 {--f12l.ltI13 33S~_ <br /> <br />LEGAL DESCRIPTION: LOT (S) ~ {} g BLOCK SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: DNEW CONSTRUCTION <br />o SIGN <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICE) <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION DALTERATION o REPAIR ~TALL <br />o MOVE 0 DEMOLISH <br />DMULTI-FAMILY 0# OF UNITS ~LE HOME <br />o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT A~PROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />y ~ 1 \..f> y..' <br />~ <br /> <br />~ <br /> <br />1 /\Il^fr~ <br />'" " <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />PERMITS REQUESTED <br /> <br /> <br />ORMS. <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />~MBING <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 INSTALLATION <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 />I S PROJECT IN FLOOD ZONE AREA 0 YES 0 NO <br /> <br />r7" -~....;- ~"""""-"-"~--I~"--""""""--'-T I~~"'''''''''"''":'''J ~r~ ~-~-~-~ -- -~- ---~ ---- - - - ~- ----,.. - ....-.-".._~-.----..-I!'-~ "'---'-~~""""--"""""""'-:r;:r:""'~~n.~ <br />i ", I - I' "", , . I ','" ',',; ~ 1 , I "J, :.':' '/~" ',":',);:1" :~',";ifi1~;'1\i:W~':l~1 <br />1. ~ ~ll'~ hi'_._- ,', ,'. 1'1 .vl". t I' I r 'I.' [',1"1' 1,~<tl_'''P'_~",>'~ r ~'!"~f\~~~it~r; <br />'l.-._..~_'-'-.....s..c~_... -~~'~H..:.lo.."'_~" __.a..J....~......: ~.~ ~--~... ......~'--~_ ~~;l.:._~~-.......-'L...l. _ _ _ _ _ _ ~ _ _ _ _ __ _ _ __ -'-_," ~-,"":-,,-~~~d~~ I ~~ _, ~'f.f~I, ,I,. r_-. r' , ttl"t....{, <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 ~~~ ",WlOOWxvt/) <br /> <br />COMPANY~lJ)~LulO{2Q~J] PhVYY1b <br />STATE CERT OR REGIST # (dFC/4J..5h() d- <br /> <br />MECHANICAL <br /> <br />*******************************~~********************************* <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # _ <br /> <br />, . <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />r:'~:-. .' <br />