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<br />CITY OF ZEPHYRHILLS PERMIT APPLICA'TION <br />BUILDING DEPARTMENT 5335 8rH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />PHONE CONTACT FOR <br /> <br />DATl~ RECEIVED <br />PERMI~rTING CZ/3 7F d- 95~ <br />r2JctAb(fh'/~ <br />PHONE 0/3 7)?3 75 ' <br />:=L3S 'f~ <br /> <br />OWNER'S NAME ~iW~S ill <br />JOB ADDRESS 3q . Ll ljo..fJt= lWYv1tA <br />~~ <br /> <br />laA1c L -hillCJ ' <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: 0 NEW CONSTRUCTION <br />OSIGN <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 APpROVAL <br /> <br />9:,tAU!\. ~ ll~~r~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL ,NEW CONSTRUCTION. <br /> <br />o BUILDING <br /> <br />$ <br /> <br />PERMITS REQUESTED (/ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE 0 Progress Energy 0 '_ <br /> <br />t/l 9 (l <br />. /' <br />L---- <br />W~._R. E . C . <br /> <br />o ELECTRICAL <br />~MBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o 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 />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />~I ~-r.--""'~,1'-r~-"~--~1~-,- ~r ~~- - -- '-"-~~-- --~~.~ --~ - __..._~_.~__ _~..~~_ --"'M--~r-'"--T7-r-~~I'~TI~;:--'11 ~r~ <br />I, Ij I, II ,r.) I :!jlll' I' 1'1r 3 (II '~~'IJ.O:ll:rl H' <br />~, I ~" I~' r" ~ t" .', ~ ,I I I ') ", II ~ It' ~ti~l:c,>"1 -r I;."", Ilr:t~~f'\';D~!f~~~, <br />'C" -~~__ .~__~ Lk~_ -_~_.~__. ____._.^- ._____"'.__..~_L ___ __ _ ._ _ __ __ _ _ _ _ __ __ _. .~,_~_~~dL_~..:.:.:L.k2J,;,:'3:.:t:;:':..:ii,""".l:;D:.tL, <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />********************************************************,k********* <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br /> <br />PLUMBER "~- ,"'- COMPAN~DemJ'VlAZ)J . w&'kt11l\S PI ~wb <br />SIGNATU~ -Q >' W~~ STATE CERT OR REGIST # <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 />