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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 f - ")~IJS- <br />, DATE RECEIVED!.!.. 'Y-__ <br />i <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME ~o~: W~tf~ <br />JOB ADDRESS 3 ?gl /~~. ~ <br /> <br />PHONE ~13 -~O.J-- as.? 7 <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID # /0 - ') b- ~ / - 0600- 00000 -00/0 <br /> <br />SUBDIVISION <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 />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <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 />DESCRIPTION OF WORK N Q.A ,:) <br />BUILDING SIZE /0.t!Jcm >; fA- <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~~ <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL $ <br />o GAS ~OFING 0 SPECIALTY <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <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 /> <br />;; ~/JCJ . <br /> <br />PERMITS REQUESTED <br />o ~'- <br /> <br />~, BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 />1~""~11W1W;:X'-""""~ ""'1,_____~,.,.,....."""'!'r'!'TTI'".,....,.-.-,-fl--'F"'-fl1..,... .....-,1 "r"'l'~.- -~~--~ --- - - ~ 'f"......~~""--""--~-~~l ----- ~-"'-L~- ~fl--:-_""O"l'fl~-'r''ln'''''''''''t~~''''~''f <br />ij'Il;I,}~,-,;-;,,"~::!~f.,~l;~"r,,~: '1/' I 1 f~l' (lit j'I', l I . I J I I "I .1~' ,;; ./ 1" r, I II 't:" ";\'<+'.Ir""-(;-::lU'if:fojtti;j~'~1!:;jt;;nAtiL'; <br />1~,i(~t:ifl;;11t1~\lffitf!:.ltr" I' E'I!' ; 111'1"<' '1" J< ~ll 'I ~ t, ,1 't " I' -"" I~L..!' ,'" . ' ~ .1 "J: h'l~trrti~:fij;W;~lff!.1tr <br />;j$ij'l!1t:"fl,^'lt;d~~',.r:-,~r'r:'I,j;l'l;'t"j!-l',UI 'tll1!t~'f'(ljl' J~, r I t _;"...1', jl', ',' ,~~i,I,I,~'.1t-ltf~ ,t< <br />~-...J.;='-;'.....~",-,-,-~",-_-"--.;.;.;J._....,""~,,,.-,-,~~......;J.~._...:w..._~------~ ~-_..~~~~ <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 />//" <br /> <br />V:;i <br />() <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />~ ***************************************************************** <br />1. ~ ~".---:---) -- - I . / <br />~H~ --7]p /;;::/~~:,2- COMPANY' / J) j 1- 'l (// LZ' < <br />SIGNATURE--;:-~>::<~ #~'- a-6--7 STATE CERT OR REGIST # C {'{I /'?yJ (rC/7<5 <br />f c... <br />