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<br />CITY OF ZEPHYRHILL~ PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br />PHONE CONTACT FOR PERMITTING SI37~:J-7 3d{) <br />. .Qlac~fhriA p <br />OWNER'S NAM~~;()okJ~LL . . PHONE ?J/~J 751.8 <br />JOB ADDRESS ~955 _ ~QlrYlcJ<CvvlQ 2 -h I ) {~\."l Ci';;;L <br />LEGAL DESCRIPTION: LOT (S) ~ ~ 0 BLOCK SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPS ED: 0 NEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICE) <br /> <br />DSIGN <br /> <br />o ADDITION o ALTERATION o REPAIR ~STALL <br />o MOVE 0 DEMOLISH <br />OMULTI-FAMILY 0# OF UNITS ~BILE HOME <br />o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT <br />?re 1 ^" \.QA <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />~w0L LJ'.^~~tT'~ <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 />PERMITS REQUESTED <br /> <br />& (1) SE~G'f~!?RMS. <br />FORMS. / <br /> <br />l4J.'11 <br /> <br /> <br />o BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br />o ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br />~BING <br />o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />o GAS o ROOFING o 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 AREAD YES 0 NO <br /> <br />!'~' -~~""-";:"""""'7"--~'-~' ~t-..,-~.......--,--_ ~....._.----.....-... -,- -:-~~ - ~-- -- - - - ~ - - ---,." ~_.~.-.-- -.--.. ---:,--; "..--~;~...-::;-~4-T;."..,-."fj....-nr;';:"'l~rr <br />" It 4-" 1 l I] I ~ "I I r II :.,', ,~prl ",' j.ff t!~ ~?:\f~.lj';;:!~~:~i'V;~ <br />'..~~~u~~J'~.~'~':~cli..~':_'_~"__:":'':'~_~_''~~i_~_ _.._.:....~~-"-I-~ _ _ . _ ~ ___ __ ___ _ _ _ __ !'__ ~-<~~~~~~~~ ;~f',~~.:1.4f~~~ r~,~:t~1J1.fr~~~~,i:1f.~, <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 r-... <br /> <br />SIGNATURE \~rAtJ^-QA;J-~~ . <br /> <br />COMPANY~d .LtJ~(l"v6 V)'^'~ <br />STATE CERT OR REGIST # (}~dLl;;) 5U):;:L <br /> <br />********************~********************************************* <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 />