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<br />I <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />B13-780-0020 FAX: 813-780-0021 <br /> <br />OWNER' S NAM~ Q (' \ () f\ ~ n Q,JI 0 <br /> <br />JOB ADDRESS oJ?? Z:3s-' "(! /~ ~. <br /> <br />LEGAL DESCRIPTION: LOT(S) ~ BL~CK 3(, , SUBDIVISION Moore i,6 fTrsl-~ <br /> <br />PARCEL 10 # ~ d..,lD ~ \ ('t:) I D a,~m 0J06 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br /> <br />DATE RECEIVED >/-:;--0:5- <br /> <br />PERMITTI~nJi~3:~ I ~~ <br />(f.<J ? <br />PHONE (. ~/ ~) ]g;J- d. ) Lf? <br /> <br />PHONE CONTACT FOR <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br />PROPOSED USE:~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <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 />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br /> <br />Joci <br />~ 7)() ~~~-t HEIGHT \ b )~ Ii <br /> <br />BUILDING SIZE <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 /> <br />PERMITS REQUESTED <br />$~ ,C~ cJl) VALUATION OF TOTAL CONST <br />,31 OM, ~P SERVICE <br /> <br /> <br />~UILDING <br /> <br />'~LECTRICAL <br /> <br />1p)LUMBING <br /> <br />~ECHANICAL $ 3 ()~ .a-C') VALUATION OF MECHANCIAL <br />( -.. ) <br />o GAS ~ROOFING 0 SPECIALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION ~ BLOCK 0 FRAME <br />Ci-L 1 I <br />FINISHED FLOOR ELEVATIONS ~ <br /> <br />'G <br /> <br />Progress Energy <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE <br /> <br />SIGNATURE <br /> <br />COMPANyJ- . C. J p" 5~ Qn I COi1~\ ~r M- <br />-It C <br />STATE CERT OR REG1Vft (;..{{j3 C/O~ ':s <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />PLUMBER...." .. ('0 <br />SIGNATURE ~)J2N\i!l \,~~ <br /> <br />COMPANY <br /> <br /> <br />**".* *** * * ** * ***7*."!! * *.. ** * ***** * ************** *~*** * * **** * * * * * ** * * * <br />MECHANICAL./ /.' / COMPANY 0 <br />/ ,,'" <br />SIGNATURE j/1.t1-~ 1';(/1 ("~/l/"(- STATE CERT OR REGIST # A C. <br /> <br />./ <br /> <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />.' <br />