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<br />I i <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, ~~ 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE lVED <br /> <br />;r/;1/us- <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME -K Y2..-0.){"'-.. ~-<L <br /> <br />~q~00B ro~J~ ~ e~~ rJ/~ <br />LEGAL DESCRIPTION: LOT(S) 00(00 BLOCK ~ <br />PARCEL ID # (():2 ~to ~~ - O~'lO...Cin.o-oo~o <br /> <br />PHONE (f'/d-i ?J.-l)?~5 <br />J....~. <br /> <br />SUBDIVISION <br /> <br />o ~ 9ro <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~ CONSTRUCTION <br />o SIGN <br /> <br />o ADDITION <br /> <br />oALTERATION <br /> <br />[J REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: oSGL FAMILY DWELLING <br />~MMERCIAL <br /> <br />oMULTI - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br /> <br />D <br />DESCRIPTION OF WORK n ~ <br />BUILDING SIZE l../Sf. 10e> <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />-- .('s: (-<.)'("\.~ b t.L; I cP l '11\. S h~u D.\.( <br /> <br />SQUARE FOOTAGE '-fr;9rft7 HEIGHT ~ r <br /> <br />o OTHER <br />~~ <br /> <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. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~NG <br />o ELECTRICAL <br />~LUMBING <br />o MECHANICAL $ <br />o GAS ~FING 0 SPECIALTY <br /> <br />$ /36 ~~ <br />~AMP <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />SERVICE <br /> <br />o Progress Energy [J <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: ~CK <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 <br /> <br />~ <br /> <br /> <br />BUILDER . ~&A-'~ /~ =~~ <br />SIGNA;UR~ ---c:::J / '--""~if'~. - STATE CERT OR REGIST D <br />*******************************************************~.********** <br /> <br />><1LECTRICIAN <br /> <br />SIGNATURE <br /> <br />~\1*- <br /> <br />COMPANY~~' [Jt.~ <br /> <br />STATE CERT OR REGIST # <br /> <br /> <br />****************************************** <br /> <br />PLUMBER <br /> <br />~ <br /> <br />SIGNATURE <br /> <br />TATE CERT OR REGIST # <br /> <br />MECHANICAL <br /> <br />(' <br />******** ***** * **** **** **~ ****.~ ***** * *~ <br />COMPANY e::7 ,4/ ~ y <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />ullh <br /> <br />Of) l f'<t" ( <br /> <br />OTHER <br /> <br />I <br />.................................~.....~........ - ~ <br /> <br />COMPAN ~ ~~~ <br /> <br />STATE CERT OR REGIST # <br />