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<br />I <br />BUIiING <br /> <br />I I <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />I <br />I <br />I <br /> <br />OWNER'S NAME SEIt/J/Lc-~L <br />JOB ADDRESS '3 P' Lli .3 !. tis <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />LOA./. <br />N ') A.... I )./ <br /> <br />PHONE <br /> <br />/A <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: ONEW CONSTR CTION <br />OSIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br /> <br />o ADDITION <br /> <br />91\LTERATION <br /> <br />IbI-1fEPAIR <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 />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />ILG -/lo O'?'/rF~ /b <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) P <br />COMMERCIAL: ATTACH (3) SE <br />IF SIGN PERMIT ONLY (2) S <br />PROPERTY SURV <br /> <br />T PLANS & (2) SETS OF BUILDING PLANS <br />S OF BUILDING PLANS & (1) SET ENERGY <br />TS OF ENGINEERED PLANS REQUIRED. <br />Y REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />o BUILDING <br /> <br /> <br />PERMITS REQUESTED <br /> <br />,po <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL $ <br />o GAS ~FING 0 SPECIA TY <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <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 />ml~;iITi"'t'l!f~I"':i"-:""~" "I ~ 1,7" . - -......--~-,~ ~T: T'4'..>r........,.., ~~~- p~'"~ .- ..rr~l-~~- --------,~ -.----- ~- - - - ,'r'~ I' '1':: ~ ~- ~ :: - m"'Jr -,....,., (~-"'~"p"- (I.... 7.. - ~:.r'. "'rtry~~]i1W:Z;;[' <br />"\'Iff':it;mj'/'",' "I', " ;'1' "', ,. ~I' I,.,i, i i" i i j I ,'"hI' ,:~ " "I' CI ' W'i 'I" ,1',""'te~'~;iJ\'~J'fT" <br /> <br />~rt~~'~~~~2~':~~~L~~~~~t~.:_~~_~____________~~.~~~~~~~~~~)r !1~ll~lft~H ~ ~M;~,t <br /> <br />BUILDER COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />*************** ************************************************** <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 />SIGNATURE STATE CERT OR REGIST # <br /> <br />*************** ************************************************* <br /> <br />OTHER <br /> <br /> <br />COMPANY <br /> <br />t AV) ;J <br /> <br />,l V~/;./~ <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST 11 ;2(, tlv C;?L C; ) <br />