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<br />CITY OF ZEPHYRHILLS PERMIT APPLICA1TION <br />BUILDING DEPARTMENT 5335 8~H St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />PHONE CONTACT FOR <br /> <br />DAT]!: RECE IVED <br />PERMI~rTING 31376 -;fls:?f) <br />~ic~~rth Y/L\.-P <br />PHONE 75J2> 733 751 g <br /> <br />OWNER'S NAM~ic..b:J:5 LtG. <br />JOB ADDRESS . 3 q 54:h V CtO d. 0 J\ /) CVvyl a ,/KCi./v1.CL <br />~ <br /> <br />~/~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />(OBTAIN FROH PROPERTY,TAX NOTICE) <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />ay{NSTALL <br /> <br />DSIGN <br />PROPOSED USE: DSGL FAMILY [lWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~BILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />~=NT ~DEP~::i~RQl <br /> <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <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 />!'n9~ <br />l1i1"" <br /> <br />,/ . <br /> <br />PERMITS REQUESTED <br /> <br />,/ <br /> <br />~~/ <br /> <br />/ <br />/ <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 />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />Ii" -~";~~........~--- ~""""'-~"--:'--T' ;j'?--;----~---7.:~- -TT~- -----~~ - ~ - - --~ ~ ~ - ~ --~... - ...-..,.-.---- --~..._:;-...~~~-'-;~~'-'.:q;mT~[t;1'" \,<,' 1", <br />~:t (, -, >,',' I 1 ~ t t ,', I. i j. ,I'" I {'J -. /) I t 1-' ~ 'li~ 1111.:j~) t.t~~'5~ trr~Wl~"MH;~~~~i~ <br />.jll. ",llt~f;~,:ll_j_ , ,1 II I l~ " . r. j ,1, lr.fll\j!'~~f'r~~':'~lit~"1~F!;1~,,'1'd.r~"I~~'l.:4f.:t'4Fi:::it1;AI <br />j......,~_a-..:l_-...I~ ~..l.l,..._.,.~k>..J:...+~o.t__""'-'~~_~~~N ___....w,.~,... ...._..... '_~_<4'....i.~-w..._.L _ _ __ _ _ __ _ _ _ __ _ ~ _ ____...~..._.....~~........",.,J.'-_......._~....~~ . <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 ~ ~ _ COMPANYOert!YlAi)g,lu(~')t1~ <br /> <br />SIGNATURE 'e- i ~QvW ~ STATE CERT OR REGIST #(~~Ci 4;l5 (06:1 <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 />