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<br />I 1:1 <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDI~G DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />I 813-780-0020 FAX: 813-780-0021 /~ - ;26- 0 ~ <br />, DATE RECE rVED <br />! <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br /> <br />PHONE IJg;;2 ~ ~ OS-- <br /> <br />JOB ADDRESS <br /> <br />2_- I-/r// S <br /> <br />LEGAL DESCRIPTION: LOT{S} <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 * <br />WORK PROPSED: DNEW CONSTR CTION <br />OSIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />oMULTI - 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 RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />BUILDING SIZE <br /> <br /> <br />~ VV"'- ' <br /> <br />\ <br />~e,.e.vl t <br /> <br />DESCRIPTION OF WORK <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PL T PLANS & {2} SETS OF BUILDING PLANS & (l) 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 />o BUILDING <br />~LECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br /> <br />PERMITS REQUESTED <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />'}2( Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIA TY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLO K <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 />1"'"l:~IW"-'''~'J'''"'~'''-''''''''''~-~~~='''-'"_' _..-, .....j...- .~-~---. ,-, ,-- ..,....,. t"'''''-'-",,-.~.'''--l-- --"""""-""'1'?!=~'iilliTI'llll= <br />1,,1~!lif~t~~;Jir;;~I:hl~r!:f';,~J~:t ,~!{;," .ltj~l~ 1'18~1, I "it ;!, ~ ~ 1 . j ~ ' 1~1!'f<~J~~tMi'/ )Jil' ~'~"I li;I"lj!i1~'+t~M1;:.~~r~;I~;l~~rif:; <br />!tlyA~~,r,J"I-!tllf!'[1 rll t~,' l jJ"~1-'l>"LfIT':' ') 1m,I,1 p, 1,1 'tl, l' '- I t r/"Si~ ,Jf.cIJ' ~ J il~l ,'" 't'. (I<','nll 't,,~.ft"Nf:[. .,~f <br />~~~=-+~""",,~~-!J!,;~.~"""~~-.~"""'~""""'~__~~~~=~__~+-"""':i""".f '-, ~ <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST * <br /> <br />*************** <br /> <br />************************************************** <br /> <br /> <br />COMPANY eave ~ (~C /; Z-~ <br />STATE CERT OR REGIST * P e.t)(X) ,;2gq ~ <br /> <br /> <br />SIGNATURE <br /> <br />*************** <br /> <br />************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />*************** <br /> <br />************************************************** <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 />