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<br />I i <br /> <br />CITY OF ZEPHYRBILLS PERM7T APPLICATION <br />BUILDING DEPARTHIilN'l 5335 81'1 St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 ~ 'I. <br />~-~- <br />---p~~-~__ RECEIVED c;::>.' . <br />--. '.R/J(--??~- <br />... PHOm: CONTACT FOR PERMIT~~ij'19- q(j:2-'Z1 <br /> <br />OWNER'S NPJ<J- molJ ihe-r)mciSfri~tf)) PHOl'E~3~qB-rg5PlD <br />JOB ADDRESS 3 8J)'JH~ry Dr Z,.e"DJ1jr'f,i))~ J rL 3.J5Lf;l, <br /> <br />I.EGAL DEseRI PTION: LOT (S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID if ..Q~:-~"""'~/-OOBD-O()AD()-o070IOBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />OSIGN <br /> <br />o ADDITION <br /> <br />OALTERA'UON <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSCL FJllHLY DWELLING <br /> <br />OMULTI - FAMIL Y <br /> <br />Ot or UNlTS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />OC(~M"'t;'R'-Il\L <br />'-"~J;L"JJ... ._ ...'"1. <br /> <br />o INDUSTRIAL <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORX.:z:n su/lItJl/. lC.!1l1!'H f1~~LlijJl11bJt rtk/k~ <br /> <br />BUILDING SIZE SQUARE FOOTAGE HEIGHT <br /> <br />VAL:JATION OF <br /> <br /> <br />& (1) SET <br />FORMS~. <br />----. <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 or ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />Jt( BUILDING <br />o ELECTRICP.:" <br /> <br />$~;DDO <br />~OD <br /> <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />Progress Energy <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o P:WUMBING <br /> <br />o MECHA.NICAI. <br /> <br />$ <br /> <br />VALUATION or MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRDCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLlXiR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE .n.REAO YES 0 NO <br /> <br /> <br />8~ <br /> <br />STATE CERT OR REGIST i <br /> <br />********~******.*****.***.*~***.*.******************************** <br /> <br />PLtlHBER <br /> <br />COMPP.NY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br /> <br />******._*********************************************.************ <br /> <br />MECHAN lCAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REG 1ST * <br /> <br />**********--.*..**************************************-********** <br /> <br />OTHliIR <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIS'!' i <br /> <br />. <br />