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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 <br /> <br />II-fJ-OS- <br /> <br />. <br /> <br />OWNER'S NAME <br /> <br />~:1/?~ml.f?~ <br />,6tJ .1'1 .5. t>::P- ----1!iI ~ )d . <br />BLO~ - ,- SUBDIVISION <br /> <br />PHONE CONTACT FOR PERMI~___ . <br /> <br /> <br />pf?5S-3~~_) <br />3.Y-r"/ :z <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL 10 # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: 0 SGL FAMILY DWELLING <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 />nd OT HER <br /> <br />BUILDING SIZE <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />WOj Ij/ 11 L U 1\1.4 fV). .f? ~ t'J f- <br />'l /< /7 / SQUARE FOOTAGE <br /> <br />DESCRIPTION OF <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br /> <br />0. <br />35~-~DD-5~ 7J- <br /> <br />g!BUILDING <br /> <br />PERMITS REQUESTED <br />I.f 504C>O <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />$ <br /> <br />o ELECTRICAL <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 />I1l~W\1 N'-*\ ~~ I r<H;1brJtr <br />,~..Jlf\.~D ~ <br />VALUATION OF MECHANCIAL INSTALLATION <br />pYl. Dr)Vl-L '-I U I..h >J$ J>1) <br />UtJ((\~T'->YL) , <br /> <br />L <br /> <br />o STEEL <br /> <br />lOTHER <br /> <br />AMP SERVICE <br /> <br />o PLUMBING <br /> <br />o MECHANICAL $ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br /> <br />-Q <br />BUILDER 5'2 i") COMPANY <br />SIGNATURE ./ ~~tf?7~r ~~ STATE CERT OR REGIST # <br /> <br />*****************************************************~************ <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <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 />OTlIlilS, <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />