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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPAR'l'MBN'I' 5335 8TH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE BECEIVED <br /> <br />? /z9Io5~ <br /> <br />PARCEL ID # <br /> <br />PROD CONTACT <br />Ga.Il Blvd Rea) [i~-f,,--+e../Tj,1c, <br />c/ c> l:> t,..,'t-''''' cu.+ .s"'~,~ h <br />5""855 Go-II BLd., <br /> <br />l q-:.2. L/ BLOCK q <br /> <br />((-1-(.;. - ~ I -DDi t) ,- CO~OO -0 (Cf 0 <br /> <br />!'OR PERYIftING 3cg~- 73tf- ~'3focf <br /> <br />OWNER'S NAME <br /> <br />PHONE <br /> <br />JOB ADD_IS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION <br /> <br />IOBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br />)(sIGN <br /> <br />[] ADDITION <br /> <br />[] ALT ERAT I ON <br />[] DEMOLISH <br /> <br />[] REPAIR <br /> <br />[] INSTALL <br /> <br />[] MOVE <br /> <br />PROPOSED USE: []SGL FAMILY DWELLING <br />)Z!cOMMERCIAL <br /> <br />[]MULTI-FAMILY <br />[] INDUSTRIAL <br /> <br />[]# OF UNITS <br />[] SWIMMING POOL <br /> <br />[] MOBILE HOME <br />o OTHER <br /> <br />DBSCRIPnON 01' 1fOIUt <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />~s+arl /D{,({ rp gYO~l1d S011 d' p~ (JYl ~1 <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />~ BUILDING (~((;rM) $ <br />~ELECTRICAL <br />[] PLUMBING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <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 />AMP SERVICE <br /> <br />W.R.E.C. <br /> <br />~t <br /> <br />VALUATION OF MECHANCIAL I NSTALLMi ON f1~~ ~~ <br />[] OTHER f' ~ r Q j <br /> <br />o FRAME 0 STEEL <br /> <br />[] Progress Energy 0 <br /> <br /> <br />[] MECHANICAL <br /> <br />$ <br /> <br />[] GAS <br /> <br />[] ROOFING <br /> <br />o SPECIALTY <br /> <br />SIGNATURE <br /> <br />COMPANy-A- / u me -,., u m A u.S <br />41. . 7tfs ~ IAJT't.- >?wy BLVD. biE-LANtJ1FL 3;.27Nt <br />STATE CERT OR REGIST # C B e.- ~5 c; '83.;;1.. <br />/ <br />********************~****~~************************************* <br />~, ~;.;>v <br />-" ) ....t1. M ~ / _L ' <br />, COMPANY 4- ec.--rr I C <br /> <br /> <br />IS <br /> <br />FLOOD ZONE AREA[] YES [] NO <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />~ UJ ~~lrp <br /> <br />STATE CERT OR REGIST # ECl')C)O;;l. 8/!7 <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />I&:CHARICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER. <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />