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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUI'LDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME ;1/ Ii tZ]/r,u-/ gO/A// < <br />JOB ADDRESS 37 ~lfU /211 /ftIc <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: ONEW CONSTRUCTION <br />DSIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br /> <br />o COMMERCIAL <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICE) <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />~EPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />O. OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOMI <br />D OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APfROVAL <br />DESCRIPTION OF WORK /f/r-!c/l ~;"1U7~ <JIl-f ~' ,('qJ"~~S <br />BUILDING SIZE SQUARE FOOTAGE 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 PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br /> PERMITS REQUESTED <br />o BUILDING $ I ~ 60-- VALUATION OF TOTAL CONSTRUCTION <br />o ELECTRICAL 200 AMP SERVICE ~ Progress Energy 0 W.R.E.C. <br />o PLUMBING <br />D MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />D GAS D ROOFING D SPECIALTY D 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 AREAO YES 0 NO <br /> <br />'~I ,ri(":--"'~Il'"--r'T 1"''' .."....,,, ;-.,.",-...,- - ---;-......... ---".....,-- .."....___M~r MHI ".- - ~, ..- l~-~~ ~-~,.--...----- -- - - - ~ - ~ ~ .... -- - M_ I -- l~: - - ~- - , -,- ~-T --!'ti:~T!l'r:-:~"';ll <br />l:\ t I I 11" I II'! I I I \,)1 I I 1 ~ ' I I I j I 'I I t ~~ , ~' , ~~J Jf <br />~2l..:;_~~.l~LiliL~._____~~__~,,"_~~_,---_,__"'-C~."""":~_~__~___--- ____ __ __ J..- .__":--":"~_3__ I I ' 11 j <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />EI&CTRrcf1 ~ <br />SIGNATURE .;;.Q <br /> <br />****************************************************************** <br /> <br /> <br />COMPANy~Wt:-n..~ cN~C: E lecfrc ' c. <br /> <br />t'L~ <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 />