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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUIiLDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />I 813-780-0020 FAX:B13-7BO-0021 <br />. J DATE RECEIVED <br /> <br />I PHONE CONTACT FOR PERMITTING <br /> <br />!/~b(3-DS- <br /> <br />-'-- <br /> <br />--- <br />-." <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />" <br /> <br />PHONE 8/3 -rJo -~fj,LcL <br /> <br />fiP, e.c \~~;z:-~~/ <br /> <br />sUBDI\1-I-S1.Q!:l . - .,'. '"==,.. <br /> <br />\~ OWNER'S NAME .J L kIJ .~! "C}; i1 k <br />'<JOB ADDRESS 3 g ~ t.f J .J-ro Yl vt/ 004- <br /> <br />PARCEL ID # ad- -at., - ~ \ -6d-.\ A- -00 ~O() - (Xj~U <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br />DSIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />D ADDITION <br /> <br />DALTERATION <br />o DEMOLISH <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />DMOVE <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOMI <br />D OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL <br />XDESCRIPTION OF WORK .'J.ns..~/ / <^- wi ndn vJ I '1 +~ Swn,.o 0 h-1 <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <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 PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />~BUILDING <br />o ELECTRICAL <br /> <br />~ <br />( ~) -51:+ . q 3 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D Progress Energy D <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />D MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br /> <br />BUILDER <br /> <br />SIGNA;U~.' St~ N. k.J2 <br /> <br />COM <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 REGrST # <br />