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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 />PHONE CONTACT FOR <br /> <br />DATE RECEIVED <br /> <br />PERMITTING ~~ <br />c.) Y 13 - ] J;).. ~ I LJ '-I f.-eP ,pt <br />PHONE H)f-f '3 -- '/ t fi - / y) 'I <br /> <br />OWNER'S NAME <br /> <br />JJL)fnes t, LeEc/j~ <br />S- f' :5 ~ I 0 Tt... ..s f . <br /> <br />....., "., <br />" <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />o SIGN <br /> <br />lq ADDITION <br />o MOVE <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE~SGL 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 />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK ~i c her:, [X 1 c~ IS I~" ) r, e,-" i'!, ~<,. k-e. B ""- <br />// ( / <br />BUILDING SI ZE -W '\ X I.C) SQUARE FOOTAGE ( (, <\ HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) 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. MST ovlr1f!il of'\! )il)5: <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />AMP SERVICE <br /> <br />,2.c~,,^ rW01 r,:"tJ S,VWf~ <br />'nl..\ ~T IlJi,~1;T>. <br />PERMITS REQUESTED lJ'i ~ 1 . <br />o.>J,('1\1.L ~ (':>j,~l--l <br />VALUATION OF TOTAL CONSTRUCTIONt..'\l In, if'-L (5;)j;. J <br />tl71 ) JJkfi~/I'4-; ) <br />o Progress Energy 0 W.R.E'.C. <br />I~ HjUV 1~~)\UTl~\) <br />')/t? ?- A ( <br />VALUATION OF MECHANCIAL INSTALLATION ~uV t3<23-~ <br /> <br />o OTHER <br /> <br />)f;J BUILDING <br />~. ELECTRICAL <br />)g1.. PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <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 0 NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />o c.-u ~1eY' <br /> <br />SIGNATURE!' <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />~*********************tp****~~~********************************* <br /> <br /> <br />-f '?')- COMPANY J-/~""e Owner <br />o ~;:) L~ uA.ttJ' ~ STATE CERT OR REGIST I <br />***********************~*****~~********************************** <br />'J <br /> <br />. <J; ') <br />COMPANY ~ oW\..e. () w" t r' <br />STATE CERT OR REGIST # <br /> <br />ELECTRICIAN <br />SIGNATURE i <br /> <br />PLUMBER <br /> <br /> <br />, <br />*************************************************************** <br /> <br />MECHANICAL <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 />