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<br />. <br /> <br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUIiLDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />I 813-780-0020 FAX: 813-780-0021 <br />DATE RECE IVED <br /> <br />S:53 <br /> <br />\ \-l~-OS <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />lr::rl.flGlV <br /> <br />JOB ADDRESS-=:J'S~\ ~"-~~\ ~ <br />LEGAL DESCRIPTION: LOT(S) \ l \ BLOCK ~ SUBDIVISION r V~.Vr"U'l!H1lL\ <br />PARCEL ID # 0~5 - d.s- - d \ - 0 IdO' 6(~C(,C - } I J QBTAIN FROM PROPERTY. TAX NOTICEl <br /> <br />OWNER'S NAME <br /> <br />PHONE <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />OSIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />G-'I'NSTALL <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 />DESCRIPTION OF WORK ~ ( fl ll-e ~ <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 CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />rr;;HER <br /> <br />$ <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 />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />~'!""""1""""7~~~""";""""~~"""~~-T""'''''~'"''''''~-,^,,,-~--'' ~ - ---.---.-~~-~ - -- ~......t-, 1"--~"'~~-ml'-;-"-~"'1"""""7'~-:--~"~-"lf.'f'fJfj~t~~~tIT1'qt <br />ltl,' ,'1, ~ ! ~ r\ F Ik Jfj fll. 1 ,jl, I , j, , t" '1-;' J 1 II .:U!, ~r d, :;if J~,'l ',\:' il) J ,+' \ll~~1~liiill?' <br />Ilr"~r!! 1;,,~,..,~ll,~;-(l(.,j 'u:):~1""11~ I,' :',t ~)t~ '," 1'1 l I. If!I';;J~;:: 11 :l-,_ I :" ,1' L~ !If:!'1~1rJ~{l4'ft!1t~;::f' <br />~"","",~~_""""A~.""~~'-~_*_....u.4.......~~_ ___~_ __..,._~~~_~~ - <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />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 />:::::T~~~J:' I <br /> <br />***************************************************************** <br /> <br /> <br />COMPAN'I{ Ju-ey\CC1.l\ ~ <br /> <br />STATE CERT OR REGIST * <br />