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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATiU~ <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DA'l'E RECE IVED <br />PHONE CONTACT FOR PERMITTING iC;J-', ~ r <br /> <br />OWNER'S NAME {Y),q T' ~ )-,:C <br />JOB ADDRESS '3Q 534- <br /> <br />o A K.J <br /> <br />Rl t; <br />~. <br />I <br /> <br />PHONE, <br /> <br />~ qS.- qCj9 6 <br />(q"d- <br /> <br />C)~~ <br /> <br />BLOCK <br /> <br />t V\ )...01:- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION <br /> <br />Pl\RCEL 10 # <br /> <br />';;)4 -;;)(, - c9- J-OCJOO~ C6)Od <br /> <br />()o'1c (OBTAIN FROM PROPERTY TAX NOTICEI <br /> <br />, t <br />WOR~ PROPSED: ~ CONSTRUCTION <br /> <br />OSIGN <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />CI REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL 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 />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />o BUILDING <br /> <br />$ /~LXJ <br /> <br />// <br />PERMITS REQUESTED ~ 110& ~ <br />VALUATION OF TOTAL CONSTRUCT~ <br /> <br />... e:> C~, <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 AREAD YES <br /> <br />o NO <br /> <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 />OTHERe.z,,'/-f, {'h~ COMPANY~.zy".h"o (?c7h~ <br />~ /:-? ~ <br />SIGNATURE { ~ /(--, (- <br />, <br /> <br />STATE CERT OR REGIST <br /> <br />.- <br /> <br />#_ "2 -"Jf~)- <br />~/-~ <br />