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<br />I I <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 ~~ /?1-- <br />813-780-0020 FAX: 813-780-0021 .< 2/ u ~ <br />D~PBQI\ [RViCe <br /> <br />PHONE CONTACT FOR PERMITTINk866-824-7894 <br />Toll Free <br /> <br />OWNER'S NAME <br /> <br />Y/~~/Lf 13t///O{!J:: <br />StJS /71-1, J'/~I <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION C~/.J Of' Z-#-t.}/f <br /> <br />LEGAL DESCRIPTION: LOT(S) ~ 0' j-{, BLOCK 7t( <br />i & .('J' <.l oJ^-- e:JJ I J() f- 0 <br />PARCEL ID # //-Ji, ..J-I-001di- 0 7<J()O - dO yo <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE\ <br /> <br />WORK PROPSED: fSNEW CONSTRuaTION <br />o SIGN <br /> <br />o ADDITION <br /> <br />oALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY dWELLING <br />o COMMERCIAL <br /> <br />oMULTI - FAMIL Y <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 /> <br />DESCRIPTION OF WORK <br />I <br />frY xl/; ( <br /> <br />lj/Cl-fS <br /> <br />rOd /i1 <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />/9eJ-i <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SE~S OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) S~TS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURV~Y REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br /> PERMITS REQUESTED <br />'tJL BUILDING /S-, /00. OJ <br />$ VALUATION OF TOTAL CONSTRUCTION <br />0 ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br />0 PLUMBING <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 /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />cSfa.{!0- <br /> <br />STATE CERT OR REGIST # <br /> <br />ELECTRIC <br /> <br />************************************************* <br />..:;:.'';:) . / / <br />Jt~. COMPANY ~1A..sf c/a.r..j' [(p~tr~ <br />STATE CERT OR REGIST # Koo /) :? <:)7 cJ <br /> <br />*~************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************~************************************************** <br /> <br />MECHANICAL COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />*************** ************************************************* <br /> <br />OTHER COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br />