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<br />CITY OF ZEPHYRHILLS PERMIT APPLICA'I' .lUJ.\4 <br /> <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, E'L 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DJ~TE RECE IVED <br /> <br />~nla 5 <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />L ,5Ei1LJ~1 <br />19 t!1 sl Z..e plv/;~ tUII" <br />t / <br />[C}< BLOCK SUBDIVISION <br />190 <br />OJ-,- ~ ~- :l f.- 0 t 90- crJ 0 ()f:J..... OIOBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />\)JALffR <br /> <br />. - <br /> <br />b/:2tj <br /> <br />PHONE <br /> <br />8/3-7,gJ -ygoi <br />;::L .53,5',/'2-. <br />Zc=/-'/i"Yi< . 13/?EEE6 <br />, <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />...Q(REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: 0 SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK l?,r;pL::J,ct: ,UAJEuGrJ .GvIX'l/ StJ~Luc..{k, <br />1t..C\.l 5-LbPE-S /16 6U.+ Side <br />BUILDING SIZE SQUARE FOOTAGE <br /> <br />I '-f( LL to <br />,r I II.-\. jrT 0(,,( (<- <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 /> <br /> PERMITS REQUESTED <br /> -5 ~ <br />~ BUILDING $ s- 0- VALUATION OF TOTAL CONSTRUCTION <br />o ELECTRICAL AMP SERVICE 0 Progress Energy [J W.R.E.C. <br />o PLUMBING <br />o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />o GAS o ROOFING o SPECIALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION:~ BLOCK <br />FINISHED FLOOR ELEVATIONS <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />I <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES ~'NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />~I <br /> <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />************************** * **************************~********** <br /> <br />ELECTRICIAN COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />MECHANICAL <br /> <br />****************************************************************** <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 />