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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUI:LDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />I' 813-780-0020 FAX: 813-780-0021 <br />DATE RECE IVED <br /> <br />5\5~ <br /> <br />11-1~.05 <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME LQ \Lt'la..y- <br />JOB ADDRESS I 'S ~J ~~ ~-L. <br />LEGAL DESCRIPTION: LOT (S) \ \ L) BLOCK C") SUBDIVISION .o-=~i-a..l ~"JLiS <br />PARCEL I D # <::l... c:--.. - -" ~......... ---~, - 0 \ '--:--"'0.- a i\ "^^ --\I b {"BTAI N <br />~ ~ ~~ CT _~__ __u~~ tQ_____ FROM PROPERTY.TAX NOTICEl <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 />OALTERATION <br /> <br />o REPAIR <br /> <br />D-ntsTALL <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 ~(LruLI~ ~ <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 />~THER <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 />11?l'!'~7J;Il~';>-"''''''''r'''''''' "'""........--~<--1~~~~~--'tr!'..,."......... -r ";:'1---- -~-~~~- - - .,~~ - 1'1" 9-1~,,--jt'I.-:"...-".......H''^'--'~~''1<<;;..\''J?I'''~-:'1j:'M~~~~ rrir.'i):l""lfF <br />..1~~&J~~Ll 'r,lf~~'l:)lt'''',~l: "j ! ~~ 1,1" ti ::~ llil~ "'11 1,1 ~; J' I, ~ ,ll! >1' '1'14t/~i' ,f ..ll, ~irl t :,. t~~' ,,#';:'\!.:;:;~;i,t <br /> <br />;~ h't'I€I:J~!9a/~t r"', 1;1 '1t~'1i~, IIJ+1MtI;,1 j,f j.... I - , . )1"":r-< "'J ,'.. 1'1 J""' ,I 1'11F,1~Q .l11r;;'w'" <br />~~~"",,"~~~_~~~~~~~~J..;.:.;1__~~_.........~~_ _____~_~~__~_... <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 />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />~**************************************************************** <br /> <br /> <br />OTHER ~~~ 1 COMPAN~\(,N\ \flL <br /> <br />SIGNAT~_~_\ \ STATE CERT OR REGIST # <br />