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<br />CITY OF ZEPBYRBILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />/ O/cfl ~;;.~ <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAMEKe-o l-~ ~ PHONE <br />JOB ADDRESS (p q s 7 ""'~oe..9-.- LIt ~ L~ ",,' <br />LEGAL DESCRIPTION: LOT (S) OoleD BLOCK ~ SUBDIVISION <br />PARCEL 10 # O:l.......2(o - :2I-O:J...90f/X:;(ro~cx>~C <br /> <br />1ft $ - 7?;;;" -LJ~~ <br /> <br />f) .:l5'D <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERAT ION 0 EEPAIR 0 INSTALL <br />. .A- <:) , . 15 ~c/ ,()J <br />o DEMOLISH ~~IDr <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />PROPOSED USE: []SGL FAMILY DWELLING <br />~OMMERCIAL <br /> <br />DMULTI-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 />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~~to-r ~~d.,~~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <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 />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />~LDING <br /> <br />mi(. <br />'r~ <br />PERMITS REQUESTED S )~-\~)>)" )~~'bu;.jJ <br />~ .V\ :::>)'Li\l) <br />$ ~ 000- t"fJ VALUATION OF TOTAL CONSTRUCTIOiiI. .1 I} ..~ r<- <br />"v~.;z ate) 4J~l. 'y~'- .~ r <br />,- \j_ AMP SERVICE ~ogress Energy r:r W.R.E.C. ,)?L)&I\IT <br /> <br /> <br />T <br /> <br />IQ4fi,ECTRICAL <br />IB'J?'LUMBING <br />~CHANICAL <br /> <br />o GAS <br /> <br />[] ROOFING <br /> <br />$ /O"OCO 108 <br />f <br /> <br />o SPECIALTY 0 OTHER <br /> <br />VALUATION OF MECHANCIAL <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o STEEL <br /> <br />INSTALLATION <br /> <br />~ ~/~0 <br /> <br />o FRAME <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />SIGNATUR <br /> <br /> <br />COMPANY <br /> <br />BUILDER <br /> <br />STATE CERT OR REGIST #c.Ac. 1':<"'507 tc../ <br /> <br />ELECTRICIAN J ~ , J, -,/ 'd -1 COMPANY ~~ ~ , <br />SIGNATURE -1:)~ ~Uvr STATE CERT OR REGIST * ~C.I3,ooJ?P.s. <br /> <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br /> <br />COMPAN~~~ t,J.~~ <br />STATE CERT OR REGIST # ~Fe-l'-f;;S' be;;:). j <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />- <br />***********************r~**********\****~* <br />COMPANY ~ ~~:s .- <L- <br /> <br />STATE CERT OR REGIST # -Rf'r\ ~ ~ <br /> <br />MECHANICAL <br /> <br />* *********************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />--,_.._~~.-.._.,.._.. <br /> <br />STATE CERT OR REGIST # <br /> <br />,-.----..--....... <br />