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<br />CITY OF ZEPHYRHILLSPERMIT 'APPLICAT~UN <br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />PHONE CONTACT FOR <br /> <br />54,u-h~ <br />DATE RECEIVED ~ <br /> <br />PERMITTING g (3- ~7- ~<I{)V <br /> <br />OWNER'S NAME <br /> <br />[lUILt4l~) ~-7~fJ~11 <br /> <br />JOB ADDRESS ~l eft I t'7J}. <;.r <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION~~AYr~~M <br />6Z- 'u_z/- 61qD- ~ot> 6 i-(.JCI~ (OBTAIN FROM PROPERTYTAX NOTICEl <br /> <br />PHONE <br /> <br />flI3-L/5/- f~cr/ <br /> <br />. <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: DNEW CONSTRUCTION o ADDITION o ALTERAT ION o REPAIR o INSTALL <br /> o SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />f-I t- ~ /).; IMn..J~ ItA> ~St-- t/J..-; /L(~ ~ . <br /> <br />-' <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 />& (1) SET ENERGY FORMS. <br /> <br />~~S. _ <br />~ -v <br />.~ ,") <br />.....' L- . <br /> <br /> PERMITS REQUESTED <br />)2J BUILDING $ 'fe;'?, 1.'1 VALUATION OF TOTAL CONSTRUCTION <br />0 ELECTRICAL AMP SERVICE 0 Progress Energy [J W.R.E.C. <br />0 PLUMBING <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 />~1~~'-~~~)~:~~_~2~~~=~~~~~~=~:~~:~.==~=~'_==~ U __H _ . __ _ _ __.u.. _~~-==_::~.~'.=~==~~~<::~'~~~~I~~~~3~~1~~'i~ <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 /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />******************************************************~,*********** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />OTHER L~ (**j*******~;;***i)7:;******~;~::~:*Z;:;;*;;**I~~~-s /p~ <br /> <br />SIGNATURE ~h'7~ .. STATE CERT OR REGIST f (t-,L/SZltC;/7 <br />