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<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 11- !o-t.)j- <br /> <br />PHONE CONTACT FOR PERMITTING ,$7/3-'!f?3-3/12 <br />&.f2;2 403-.233- <br />/ (p 79 <br /> <br />PHONE <br /> <br />OWNER'S NAME //::I;)01. ~ t\. \l--LitJYt..Q.JL- <br />, <br />JOB ADDRESS V 5;].{) d-. ~nJ.. S-\'. - Z~p~V"b_d \~J fL. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # V/!-r:;&~~/-OOIO-/c:j100-f)//'fD <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />iC){J()~i J~/ \' <br /> <br />//9/)/ <br />, <br /> <br />It) <br /> <br />- // <br /> <br />') nn.t~~JJ. t <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. ~ <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTI~. <br /> <br /> <br />~7,) d- 5I;..f <br /> <br />$ <br /> <br />2 You' <br />I <br /> <br />0'-' <br /> <br />PERMITS REQUESTED <br /> <br />'P BUILDING <br />~. ELECTRICAL <br />o PLUMBING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />o Progress Energy 0 W.R.E.C. <br />6po\62.. -+0 e~ who <br />(P"i \ \ "Y"'\o--u-€- po 0 J> 0 <br /> <br />VALUATION OF MECHANCIAL INSTALLATION ~\c. C:~ <br />+c> _ BD -to (J~ <br />pV~ ~.[ ..e.\e.d-rlCdrl <br />~~JJ..f1:-^- +o~ <br /> <br />~ ~ (Z-f~ <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />AMP SERVICE <br /> <br />o MECHANICAL $ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />BUILDER <br /> <br />COMPANY 1./".;:Q6\~ ~ .~ <br /> <br />SIGNATURE t~l~ 1:\. ~ <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br /> <br />ELECTRICIAN <br />SIGNATURE ~ <br /> <br />*******************************;********************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />