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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUIiLDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />\ 1- d.5s .oS <br /> <br />PHONE CONTACT FOR PERMITTING ~\'3 - y<c,q - 5551/. <br /> <br />OWNER'S NAME [3-e..~ {vIe ( ;V1~ /JoY" ~I/ <br />JOB ADDRESS '17307 E-fh /!v( <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID It /2 - z.. t, - Z./ - 03) (J- OO{JtJtJ- OY'jd <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICE\ <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br />DSIGN <br />PROPOSED USE: ~L FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br />o MOVE <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />Dlt OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOMI <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APpROVAL <br />;:t( e v- t./ d -;: <br /> <br />/~ .if ~/ <br /> <br />SQUARE FOOTAGE <br /> <br />2. r veq,....- <br />.I" <br /> <br />5 fzt b .J 111 'n. c, It? .f <br />./ <br /> <br />BUILDING SIZE <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 />~H DO,oo <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 />o OTHER <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 AREAD YES 0 NO <br /> <br />~IJL~~~~:;~~_'.I~,I~::~~=~=C~~-~--~~-~,~~'~~~_ ._~-~_ _~ ~_l'-.~~J~~~~:-._'~'-~~ ;~I. ~- ~:~,-)\:.7~~:r <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST It <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST It <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER ~ COMPANY 5t C tr6 I, d...." ;:?oi' h '" .J <br />SIGNATURE _ ~ STATE CERT' OR REGIST # ('('( Or75) I <br />-------" <br />