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<br />CITY OF ZEPHYRHILLS PERMIT APPLICAT'ION <br />BUILDING DEPARTMENT 5335 8:J:H st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br />PHONE CONTACT FOR PERMITTING 3J 3 7~d -Cjg(j <br /> <br />OWNER'S NAM~~hc()cJ(s lLc:.. ,PHONE '25/3 79375/ :? <br />JOB ADDRESs3~i~(_ Co VQQ&f2JV\CJw1D...!r-wO 7~-h,,(~,-=i?D Lf~ <br /> <br />LEGAL DESCRIPTION: LO; (S) :<'/9 BLOCK SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />DSIGN <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br />o MOVE <br /> <br />[JALTERATION <br /> <br />o REPAIR <br /> <br />~STALL <br /> <br />[J DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />OJ OF UNITS <br />o SWIMMING POOL <br /> <br />~BILE HOME <br />[JOTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~LL~J\ ~ ~~~ <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 & (I) 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 />PERMITS REQUESTED <br /> <br /> <br />i': 1 f) <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 />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />[J 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 />I S PROJECT IN FLOOD ZONE AREA 0 YES 0 NO <br /> <br />ll~ -~-r;'" ~.,,~- ---1--~'--^,-"""----'--:-7 ----...--.--.~--....~ - ....r- .-- ----~ ~ - ^ --- - - ~ - --- I ~ -~-..-. ~ - -'--1'" i-~-~>^ """""'-~--;.-:;,,"~:r;~:r:-T~'"l7~n:~--;';7;,,~rJ <br />I.L j I Ii I~ I j 1.1\ ' 11 r'~ll :1J,,:~t!i:U~.f!I'.i'tI:1-i~tr!f\f;J~~::tjt'*'fSi11 <br />~l t . J' "' tl, ,I, t t ~ I ~ II lll~r ,t;"~)lt\' <'Ojl,~I:J~I:1;'IIIJ~..;I,+3:"'~II.Kl:..t;;1~~~Milftl+~1 <br />L:.____""-.....J.;._._~~_."'""'.,_1L.=_.J__..1...l....___~ ._._ __,"-, ~_~_ ~__,~......I.~-w..._... _ _ _ _ _ _ _ _ _ __ ~_ ...................___~~d...............~~~~-' <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 brt0\~ Qt.C J 1 }lCO~'Yl1\./J <br /> <br />COMPAN~~A/)#-'_'W l~f1U~. <br /> <br />STATE CERT OR REGIST # ~/lf:J".<)Q()~ <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 />