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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 STH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />PARCEL ID # <br /> <br />LLn ()ay Y-bft/6, LM~ <br />75;.6 \SenD StruA- <br />//1- <br />6 5' ~:;JS J ;;;'/"'D) 7 () --O/'YYY) - I J ;L <br /> <br />PHONE 813-~g2-- J-j.(P63113 <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />,.--. <br /> <br />SUBDIVISION W..l.f-vuv) <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: CiaSGL FAMILY DWELLING <br />o COMMERCIAL <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 />BUILDING SIZE <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />OF WORK Ujf) S& <br />'1D' x W' <br /> <br />UOt1U ~~ ~f::: 1)- <br /> <br />SQUARE FO TAGE ~"'c9- <br /> <br />HEIGHT <br /> <br />DESCRIPTION <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 />I,;);J.J Dot),~ VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE 0 Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o ELECTRICAL <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />i/YYJ.~ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />o SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: ~BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS /J f, bt\ J <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />:5 <br />Cl3c o1tp&9~ <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />********************************************************** <br /> <br />SIGNATURE <br /> <br />~f\t <br /> <br />fDav;@ <br /> <br />COMPANY &J /Y1~ Y:Pt<----- <br />STATE CERT OR REGIST # 00/;3/.3 .z.J. <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~'t <br /> <br />AVdl~ <br /> <br />COMPANY ~~+ <br />STATE CERT OR REGIST # CF~L/d 99 f <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />********************************************ir******f************* <br /> <br />./ f\ . COMPANY --1[. Q ~12j)lJ, AI J()~ . <br />cjr filA- f.J! al~~ STATE CERT OR REGIST # Clle --OS,:; 4/0 <br /> <br />..... ..;...... ~ .~...........~.. ~:~::~;. (i" ~ 'i:;' H~ <br /> <br />cj;/ rx JJJal1f IP STATE CERT OR REGIST # I/('_/-I!"- () /~ <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />OTHER <br />