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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />, . <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PHONE CONTACT FOR PERMITTING))\:S~ q l~ ~ 2f39 <br />, \.1<1tw L\ 0tJf- <br /> <br />I-hI'K/S , LA16 PHON,f 813'~ 25 g2 - J-f&1d?,3 ;1,33, <br /> <br />~J~\~~t'i~. <br /> <br />7 BLOCK -&- SUBDIVISION 6u..l.fV(~ <br />PARCEL I~ # ?{~- tJ5'- 21-0 \ZQ- orfYb-i) rfJrO <br /> <br />LLri /Iet r <br />JOB ADDRESS~5~9 <br /> <br />OWNER'S NAME <br /> <br />(OBTAIN E'ROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: [1g NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: ['jjSGL 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 />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK i& n s (/ t JfJ {J{.il: ~ rvJ~c!r /iT <br />BUILDING SIZE (jf). )< yO SQUARE FO~AGE adC);J- <br /> <br />HEIGHT ___ <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY F'ORMS. <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 />~::::::^L <br /> <br /> <br />~PLUMBING <br />ftJ ~}.~,- <br />~ MECHANICAL $ , VALUATION OF MECHANCIAL INSTALLATION <br />o GAS t/JOOFING 0 SPECIALTY 0 OTHER <br />TYPE OF CONSTRUCTION: g' BLOCK 0 FRAME <br />JdO. CfJ <br /> <br />$ )JJJ3 ID <br /> <br />f:XD AMP <br /> <br />PERMITS REQUESTED <br /> <br />~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />SERVICE <br /> <br />o <br /> <br />Progress Energy ~ <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 />~O <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />f <br /> <br /> <br />, 'J <br />C/3C D~~~C;S- <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />*****~************************************************* <br /> <br />SIGNATURE <br /> <br />~ <br /> <br />~ <br /> <br />COMPANY &:-IIPQ!lY;Jt<...--'" <br />STATE CE~T OR REGIST # 00/31-5 'f <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />4u <br /> <br />f\.OtV-7-d:l <br /> <br />COMPANY ~f:)u...+ ~ <br />STATE CERT OR REGIST # CF(!-,OiIJ 99 f <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *:;g.. * * * * 1 *-[;, * * * * * * *. * *,,* * * <br /> <br />~ COMPANY . Q ~ - ;.0/21:{l r1 ~ <br />../. . _ ~!'LLf~ STATE CER'!, OR REGIS1' i CltCO.YJ //10 <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br /> <br />.JJ - COMPANY C. 01mttflJ;- J0vfUZf=- <br />. :JJ-!~ . <br />~ STATE CERT OR REGIST # .110 I'~ :I 0/3 <br /> <br />%rx <br /> <br />OTHER <br />