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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ St, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />? /28/0 S <br />, <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER' S NAM~ IIl-e I <br />JOB ADDRESS 74f ().s <br /> <br />COI'PdrA+-c S.erV;Cef PHONE 50/. 9()~.5l52 <br />GtJt.11 /jlvd. Zephyr-hill> J F'- 3 J~~ I <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />DSIGN <br />PROPOSED USE: 0 SGL FAMILY DWELLING <br />I!(OMMERCIAL <br /> <br />o ADDITION <br />o MOVE <br /> <br />(OBTATN FROM PROPERTY TAX NOTTCEl <br /> <br />~LTERATION 0 REPAIR 0 INSTALL <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <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 />BUILDING SIZE <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />In+~ri,r 1i!""~,,., /f,,,,,ov#.1-,,,, <br /> <br />o <br /> <br /><t. 31U- <br />1'1 )g-~o <br /> <br />DESCRIPTION OF WORK <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />& (1) SET ENERGY FORMS DD <br /> <br />>0,., c-\'J >\ ::, ~ <br />~\O)"J 0~(} <br />~,\f /~o <br />o 0::::"'0' OF """""'m """LAno' ~ iA. ~ \\ ,vi ~ \ ' <br /> <br /> <br /> <br />o FRAME 0 STEEL 0 OTHER "J <br /> <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO 1I"3\:J 7 J 5' ~ <br /> <br />PERMITS REQUESTED <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 />o BUILDING <br /> <br />$ <br /> <br />:3S1< <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o <br /> <br />Progress Energy <br /> <br />o <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />G'lJ <br />50 <br /> <br />~t) <br /> <br />OR REGIST # <br /> <br />************************************************* <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />/ <br /> <br />~ <br /> <br /> <br />*************************************************** <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />