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<br />CITY OF ZEPHYRHILLS PERMIT APPLICA~~ION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br />PHONE GONTACT FOR PERMI'I'TING Bl37?J;;J. ._~S;;() <br /> <br />OWNER'S NAM~{)lCtYs}IL O~S UL- .. .PHONE~~~~f~1? <br />JOB ADDRESS 3q:Jr3 <3 \/~CLw1a,~Q z-bJl::) 3,?:6/~ <br /> <br />LEGAL DESCRIPTION: LOT(S) ~/7 BLOCK SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: DNEW CONSTRUCTION <br />DSIGN <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICE) <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <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 />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL <br /> <br />G€10QJ\ R,~ 0, \ ^^ gJ-~ <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 PERM~T 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 />? r- · <br />/ 1-1 :;2. 7 ) / ./ <br />( , //' <br />\~ ---' ~.- <br />-.- <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />~BING <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 />.r "'~'::~"'~""';--"--'-""""""'-r-"'."'I"-'-"'7' -~-"-'~----'~-r-;--t-~_. --~- - ~ ~~ - - - - -- -- ~--!~ ----....-.~.. -...-,.-- --:-----:- ,......"...:'""'--~~T;:r:...~fr~n~,y <br />l' ',1 1'.1',1 It,' I '~. 1, r; G 1 r I; t r, L (. I.~ .~~tiJ!~:~~-ftr.:J~r:f.~;P~I\,~l;tt'~i; <br />r'l L "~, 'I' t' II.. ." {, I; I I: j' '_0 'I.' ,'r ~ !.~I':J.:li"'l,.. -1.-'-'11"'" ,I, r~4lp"I!~1 I~?i':rl;:t,l <br />tl:~.',~~"'~..J~~~j _~~,,,^,LJ;......_....:...;.w...._....... .~__.t...._JJ-~~ _. ,~..i, ..t....w..........1 _ _ __ __ _ _ _ _ __ _ _ ___ ....... ...............__....1_~J:i-._l_..........._~1...,....~ <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 />********************************************************j.********* <br /> <br />PLUMBER. ,r- ..' -=- COMPAN~' D2Mlf-~J~~)lLwb <br /> <br />SIGNATURE ~Q~ lAJ~STATE CERT OR REGIST # Q(:c/LJ-J.5(L;{);2 <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 />