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<br />CITY OF ZEPHYRHILLS PERMIT APPLICAT~U~ <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />~/6/()s <br /> <br />. <br /> <br />PHONE CONTACT FOR PERMITTING BI1.-U7- 3461.- <br /> <br />OWNER'S NAME <br /> <br />])D~1 H"r 13>, Po "11 EJt- <br />383>$2 fJZ.atv~ 'P!- <br /> <br />PHONE <br /> <br />8/3' - 7C7-.. 777 I <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />6Z- 2(;, - 2- (-() z, f It- ttJ [....6 I> -6D~ 0 <br /> <br />BLOCK <br /> <br />SUBDIVISION ~~}~ <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: oNEW CONSTRUCTION o ADDITION oALTERATION o REPAIR ~NSTALL <br /> o SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: OSGL FAMILY DWELLING oMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />lZ( /l.. 5' /WIIv.POW / ,M> e-{ zrp '-I:> J2/o <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PL.ANS REQUIRED. ~. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. . ~r~ <br /> <br />~\}.v thP6. <br /> <br />~~NG <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ \~.~3 <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br /> <br />;--""._---.., <br />-" <br />", <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATI <br /> <br />v <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 />~ ~-.~~'=~~~~"oC~~_=~~:~~._"Z;~=~:~"~=~_~~ ~'. .~. . w- . ... .~'_'_... _.. _ - i~~=~=:.~~~'~=:~:=-~?:'~-~~ ,~2I:~:}:~~~~ <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 />***************************************************************** <br /> <br />OTHER (pw;d ~ ~U- COMPANY ~ls B-r-- ~ 1M- <br />SIGNATURE' ~ STATE CERT OR REGIST # Gqt:....1 J1I ~ 'f11 <br />