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<br />I 11: <br /> <br />CITY or ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING mEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME 5/'6- (/~ .v' <br />JOB ADDRESSS3SL S- ~~ <br /> <br />If /i..00J <br />SZ <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: DNEW CONSTRUCT ON <br /> <br />o ADDITION <br /> <br />91CLTERATION <br /> <br />I <br />/(JA(EPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY OW TILING <br />o COMMERCIAL <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 />c:J RESrAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />fu;. ~ <br /> <br />Ot?~ <br /> <br />/0 <br /> <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT <br />COMMERCIAL: ATTACH (3) SETS <br />IF SIGN PERMIT ONLY (2) SET <br />PROPERTY SURVEY <br /> <br />BLANS & (2) SETS OF BUILDING PLANS <br />qF BUILDING PLANS & (1) SET ENERGY <br />OF ENGINEERED PLANS REQUIRED. <br />~EQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br /> j-J PERMITS REQUESTED <br /> 13 <br />o BUILDING $ '''2- 0 av VALUATION OF TOTAL CONSTRUCTION <br />0 ELECTRICAL lAMP SERVICE 0 Progress Energy 0 W.R.E.C. <br />0 PLUMBING <br />o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLA,!'ION <br />o GAS o ROOFING o SPECIALT 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 />I S PROJECT IN FLOOD ZONE AREA 0 YES 0 NO <br /> <br /> <br />BUILDER COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />***************** ~**************************************k******** <br /> <br />ELECTRICIAN COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # - <br /> <br />***************** ************************************************ <br /> <br />PLUMBER COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />* * * * * * * * * * * * * * * * * *,* * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * ** * * * * * * * * * * * <br /> <br />MECHANICAL COMPANY <br /> <br />OTHER <br /> <br />,-' <br /> <br />vI/,) <br />~( <br /> <br />/!. to f) //;,.; t> <br />C..:.- <br /> <br /> <br />SIGNATURE STATE CERT OR REGIST # _ <br /> <br />***************** <br /> <br />~*********************************************~- <br /> <br /> <br />(Iiff f!-f!IJJ/'COMPANY 1-/9 ..//~ {.fZCO~/~l/~ <br />STATE CERT OR REGIST # ILL 00 lj [,2. tj I <br /> <br />SIGNATURE <br />