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<br />CITY OF ZEPHYRHILLS PERMiT APPLLCATLUN <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />~ p3/o5' <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />::E::~::1ftrr r~~~:;::::;::;?::L ,PHONE ~8 --U.:(-Dtl~~ <br /> <br />LEGAL DESCRIPTION: LOT(S) os/ 0 BLOCK~ SUBDIVISION_~3v' <br />PARCEL 10 #3~-l-..:;~ d-.J - vr=1:o -~co- 05/ 0 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~ CONSTRUCTION <br />o SIGN <br /> <br />PROPOSED USE:~FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <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 />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK n~ s (nc; Ie... ~l.l ~/d~c...- <br /> <br />BUILDING SIZE ,C'/I-1' X 61/ SQUARE FOOTAGE -}~7 HEIGHT g/ <br />por-~ l-L~ l do.. ~ / ~ Cfl c/.+- / '7' =>- <br />RESIDENTIAL: ATTACH ( ) 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 />~c&d ~ +t /~ <br />PERMITS REQUESTED <br /> <br />$ J to'?., ODD. c..C VALUATION OF TOTAL CONSTRUCTION <br /> <br />~ILDING <br />'~ECTRICAL <br />Z~ BING <br />&~oo. E::>C) <br />MECHANICAL $ J VALUATION OF MECHANCIAL INSTALLATION <br />o GAS ~ING 0 SPECIALTY 0 OTHER <br />TYPE OF CONSTRUCTION: ~CK 0 FRAME <br /> <br />~OQ) <br /> <br />AMP SERVICE <br /> <br />~progress Energy <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES ~ <br /> <br />_~J"7"T'~'~-~"- .--..- - --.- - ---_-.~------;-.:"'~.~- -..".,....1ii:~iT-r.-.~~';::..;:.; <br />~~1 r~,M~~,~:{kri.(,!];nK!,:.A~.;:,;.i.~ ,', I i ~ ~fllH1~i\l;;;}:'~ J>1*\!ltl,!~ <br />~~~~L__~.___ ------..._______~ '~r. . '" <br /> <br />BUILDER <br /> <br /> <br />SIGNATURE <br /> <br />COMPANY~ 0-.. ~;,j-y-~~}'U~ <br />STATE CERT OR REGIST # ~&"... 035 13 'f <br /> <br />SIGNATURE <br /> <br />COMPANyCa.s ~ ~Q""4.(!'_e~ jP~.J-.-.-c ~ <br />STATE CERT OR REGIST # ~~ ~/~~I <br /> <br />PLUMBER ~~ h <br />SIGNATURE -'. ," <br />~ <br />******************************************* <br /> <br /> <br />COMPANY <br /> <br /> <br />MECHANICAL <br /> <br />COMPA <br /> <br />SIGNATURE <br /> <br />STATE CERT <br /> <br />COMPAN <br /> <br />******************** ~ <br /> <br />~s-f-r~~L- <br /> <br />STATE CERT OR REGIST #~ ~~.~~ <br />., ' . <br />,~ <br />