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<br />I r <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 />DATE RECEIVED <br /> <br />9/15/oS <br /> <br />f f <br /> <br />5()~.Mvtf ~ ~ <br />(OW;:;'S ~AME D~7L- . ' . PHONE g'(!S-78d--O~-'-S <br />M,B lliDRES~::'=: ====-~ v'/~ ~~":" <br /> <br />LEGAL DESCRIPTION: LOT(S) 'jI BLOCK~ SUBDIVISION <br /> <br />PARCEL ID # p~ ~~ -~ - dd-.9D "<f)J0tDOC> - 00'10 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[JADDITION <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 />g~(~~ <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />JaCOMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />o MOBILE HOME <br />D OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~ ~ctO-t:~ <br /> <br />,----- <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />-- <br /> <br />HEIGHT <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 />PERMITS REQUESTED <br /> <br />~LDING <br /> <br />e:,-':) <br />$ ~~~ VALUATION OF TOTAL CONSTRUCTION <br /> <br />~--'Y/.!. ,....;. (sAMP SERVICE IK'Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />~ECTRICAL <br />JZYP1UMBING <br />~ANICAL <br /> <br />$ IV/OOD.dtf> 0 <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATUR <br /> <br />STATE CERT OR REGIST # {~Cl.. id.509 It <br /> <br />~***l************************************************* <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY ''(Y\~, ~ <br />STATE CERT OR REGIST # ~ /~/~J?~ <br /> <br />ELECTRICIAN <br /> <br />PLUMBER <br /> <br /> <br />COMPANY. D.,c:'~W ~~ <br />STATE CERT OR REGIST #c:.~~ ILf~~~ <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />. <br />********************~**************~*** <br />COMPANY 00 h.. n..L11 S:' L....- <br /> <br />STATE CERT OR REGIST' # R V'<\ ()()f)~+ <br /> <br />MECHANICAL <br /> <br />**************** <br /> <br />************************************************ <br /> <br />OTHER <br /> <br />----.. <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />------ <br />