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<br />I I <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br /> <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />16d -q~dJO <br /> <br />OWNER'S NAME bM-uv J ~ <br />JOB ADDRESS ~ If IS <br /> <br />po Ivct: <br />~y~\~ <br /> <br />PHONE <br /> <br />L~ cl'1~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: oNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br />oALTERATION 0 REPAIR ~NSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: oSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />oMULTI-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 5 e (.( )'f---lf <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />PERMITS REQUESTED <br /> <br />Jj 7J/2 <br /> <br />o BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br />o ELECTRICAL AMP SERVICE 0 Progress Energy [] W.R.E.C. <br />~LUMBING <br />o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />o GAS o ROOFING o SPECIALTY 0 OTHER <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 AREAo YES 0 NO <br /> <br />~tj~\.~~~:~~Y:"Ir--~~~-~"""~-~:~~~~"'~""I~~-~~i~~-- ~-- - ~ - -, ~ ~ ~~ "'--~ ~~t~~--~~~-:-,~---' --;'~>F<ili'::~~H~rl:;ff~~j~lr,,*&~~4~1ij""""w <br />IitJ~';Jt !1.1 11 il,~,\ittt;ih~; 't~;;,f 'tj' j;~"'fj;o, t,._'l, "~.r/ Jil~ ) "h' (,"; ~ ~ t 1 I It) ;-h' 11'1' : C 'I! '" ~ ,~::! k\'" 1 ~,~f~1iJJ::!:rfff~+~r:; <br />lL:w.;,EJ..l:~;<".ak...,."~J.iJili:1.ll.t,~_~..l.""-_.~""""""""-JJ.=l.L....",".ill,"':"""'...",=~~~~<_.J..1.~~"'_~.____ __~__ _ __~ _~~ _ __ _ ___...._ ____~~....._............~x.,~....._~~...........~~~....._<_lo:.._ <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # - <br /> <br />****************************************************************** <br /> <br />PLUMBER <br />SIGNATURE ~~ ~ <br /> <br />~" \~'~\ '~ <br />COMPANY ~~, ~ \l'~ \~~S. ~C <br />, <br />STATE CERT OR REGIST # ~~~ \l'clS~\:\;:L <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 />