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<br />PHONE CONTACT FOR PERMITTING e 1"52189 Coer (.;" <br /> <br />OWNER'S NAME /~~#;;~,#/ /;Jtjc.~ ( PHONE f;'1.J'-~le cr"9 io <br />, <br /> <br />JOB ADDRESS C y .e..~;-l S" \~O..Q.... r- L4-vV' Q.-\ ~A-"""'V\A-d'-\........ ~ <br />1 <br /> <br />CI~Y OF ZEPBYRBILLS PERMIT APPLICATION <br /> <br />BUI:LDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />I 813-780-0020 FAX: 813-780-0021 <br />DATE RECEIVED <br />! <br /> <br />/ I II I 0 '1 <br /> <br />, . <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: P(NEW CONSTRUCTION <br /> <br />DSIGN <br /> <br />PROPOSED USE: []SGL FAMILY DWELLING <br /> <br />~OMMERCIAL <br /> <br />D RESTAURANT <br /> <br />DESCRIPTION OF WORK /nG c:J I <-4 \ <br />/ / S""'}( &-0;;- <br />BUILDING SIZE ~//QY /~l od,) Sf- <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICE) <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <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 />& HEALTH DEPARTMENT AP~R~VAL <br />c) J=~, C~ ---- S \ .\-€" L-;>O' ~ <br /> <br />Of.j\y <br /> <br />1 $0''''7 <br /> <br />SQUARE FOOTAGE /cJ) e 'C3 j C <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 /> <br />LAS \ t,\...- <br />(2NJ ~1"'L <br /> <br />(/, ~PERMITS REQUESTED <br />~'BUILDING $ ~-?~ VALUATION OF TOTAL CONSTRUCTIQ <br />o ELECTRICAL - - AMP SERVICE 0 Progress Energy 0 <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <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 AREAD YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY .- Jefl<-- -I <C'~ I <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 />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />