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<br />II' <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/Jrf) <br /> <br />PHONE CONTACT FOR <br /> <br />PERMITTING ~~,7- 77?- Ie;? 3' <br />tJi:. -r ( 'f <br />PHONE If 07-'6 7/- 3'-'1:;- <br /> <br />,r::-L <br /> <br />OWNER'S NAME Pc S Pa1\ h.1!'t"" ~ <br />JOB ADDRESS 7335" &cUI glue-! ZtfAvrAr//$; <br />LEGAL DESCRIPTIO: LOT~SI- I. . B~OCK . /' SUBDIVIS;ON <br />PARCEL 10 # 35-;;/5 -;;J I toDDO'-OO 3.00 - C)C)..JCJ/OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPSED: DNEW CONSTRUciION 0 ADDITION DALTERATION 0 REPAIR 0 INSTALL <br />~ <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY D1ELLING <br />o COMMERCIAL i <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />o <br /> <br />- <br />..J- f\ <br /> <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />i <br />RESIDENTIAL: ATTACH (2) PLO~ PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SET~ OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SE S OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVE REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />I <br />i <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />*' 0q<:t1 <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />o GAS 0 ROOFING 0 SPECIAL~Y <br />i <br />TYPE OF CONSTRUCTION: 0 BLOC~ <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE: AREAD YES 0 NO <br /> <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />S(9~ CO..p <br />. I <br />E~q(? <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />ELECTRICI~ <br /> <br />SIGNATURE 7 <br /> <br />*************************i**************************************** <br /> <br /> <br />~')-:'~ COMPANY ~/r'rs 5'r^ {OrP <br />JI ~ I. <br />STATE CEB1~REGIST # ~5~Lj(J- <br /> <br />PLUMBER <br /> <br />****************r************************************************* <br /> <br />i <br />I <br />t STATE CERT OR REGIST # <br />****************, ************************************************* <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />*************** <br /> <br />************************************************* <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />