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<br />I I <br /> <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 />9//o~ <br />DATE RECEIVED t <br />--- <br />PERMITTING <613-' 7gg-(g3~ <br /> <br />...--. <br />OWNER'S NAME .J A-Y"t.. '\.. S <br />JOB ADDRESS ~ Sf? / .) <br /> <br />?'C/~ <br />~ 5-/- <br /> <br />, <br /> <br />PHONE <br /> <br />g(3-7gg-(g 3 ~ ~ <br />" f/g.g33~"~5-7 <br /> <br />'"" <br />, <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />~DITION <br /> <br />[JALTERATION <br /> <br />[J REPAIR <br /> <br />[J INSTALL <br /> <br />[J SIGN <br /> <br />[J MOVE <br /> <br />[J DEMOLISH <br /> <br />PROPOSED USE: ~L FAMILY DWELLING <br /> <br />OMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br /> <br />DESCRIPTION OF WORK C lo..s,J:) ~ Nd^ <br />I C) l.{o <br /> <br />o COMMERCIAL [J INDUSTRIAL [J SWIMMING POOL 0 OTHER <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL _ [x (~-(( :.-~^ <br />~/ <br />(l4-tL ~ te..+ .. u~rF-;- C~'n6tti~ (,f er('/~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLO~ 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) SE~S OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVE~ REQUIRED FOR ALL NEW CONSTRUCTI <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />[] FRAME <br /> <br /> <br />o OTHER <br /> <br /> PERMITS REQUESTED <br />o BUILDING $ .~) 0 0 0 VALUATION OF <br />o ELECTRICAL AMP SERVICE ~ <br />[J PLUMBING <br />o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />[J GAS o ROOFING [J SPECIALTY 0 OTHER <br /> <br />o STEEL <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES ,.$ NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />- <br /> <br />SIGNATURE .:J~~.5 <br /> <br />? <br /> <br />ff.~ <br /> <br />\ <br /> <br />f3 y)6 <br /> <br />STATE CERT OR REGIST # <br /> <br />****************~***************************************~********* <br />I <br />i <br /> <br />SIGNATUR <br /> <br /> <br />f <br /> <br /> <br />COMPANY <br /> <br />mnl\f,y' <br /> <br />~O.~. \.> <br />i, i - .hLK..( <br />. <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />. <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />I <br />I <br />I <br />I <br />****************~************************************************ <br />I <br />I <br />I <br /> <br />i <br /> <br />STATE CERT OR REGIST # <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />