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<br />CI~Y OF ZEPBYRBILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />I 813-780-0020 FAX: 813-780-0021 <br />" DATE RECEIVED <br /> <br />! \ - d I ~ 65 <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME L <br /> <br /> <br /> <br />(;tS -js 0 t" r- <br /> <br />JOB ADDRESS <br /> <br />I <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[J SIGN <br />PROPOSED USE: ~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICE) <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />~NSTALL <br /> <br />o MOVE <br /> <br />[J 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 <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPR~ <br />f ,v~1A1..1.. At-. " 1J ~ ~ fl.-t t-J Ii: U-i ~ ~~""'" <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 />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />OJk:VY <br />~~ <br /> <br />PERMITS REQUESTED <br /> <br />o ELECTRICAL <br />~ PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTAL.LATION <br /> <br />o GAS <br /> <br />[J 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 />1"'~lffiilrW:""""~,",,"If'''''''''I''''''-~'--''''''''-''1'''''''''''''''''''-~>r'''~'''''''-~~- "'<f'"~",",,''' ....-0> "r'-l~~- ~~~-~--- -- - - r..... \c"~1'< ~7'~--fl~I!'''''+-''''~~'''"'''f'''''''-'~~''''''''--''~-t~~~~~~!Jif,r:;~1'lr <br />l.,',; r~F~~q,,~lV:.~:dJ"'t~'!l, ,i~;, ,l~ ,t,' ~:"ll)t J "I 11/ 'I I ! "-/1 <;;, ~e~~..11'i' ,J,fll ,,;11 'Wf~!;l~: "l,~I~;f.~rl}~~~~~,Jklf; <br />~ltfdJI~~.~lL~.~.~~~~~'~..JilLillL~~~~~:"',:-I~_,;.lL~J................_k.1_:":""'~_~___ _~__~____~~~~~~~~ iI' ~1~~.~.:J;$t^ ,~ <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 ~&1"~ n <br />STATE CERT OR REGIST # <br /> <br />I fWL,1 (,. I1-n ()..~ <br />bo'i cP-f <br /> <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 />