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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 <br />DATE RECEIVED <br />! <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />~ UJI2/ /J <br /> <br />~L(~ .IC. <br />I q [11 $;. l' <br /> <br />PHONE d"1.7 7 --; <:J - P II d <br /> <br />JOB ADDRESSS~ ~ '/ 7 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICE) <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <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 <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />S"Vc uf?GflAor Ff'l /60/T0l1" /0 200/111,,0 <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 PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br /> PERMITS REQUESTED <br />o BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br />-e(ELECTRICAL ZoO AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br />o PLUMBING <br />o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />o GAS o ROOFING o SPECIALTY 0 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 />III ~i~n:q:::t';';~::T:4"/ '=~7'F>~'"t'~;~~~ =",';:-Tf ~"7~1~7 ~~-- r!'~~;-" ,~1 -~-"'I- -~ ~-----~~ -- - ~ I~~-' ~; - -1~;.: -l'~ :-'7:~'<"-] ~ ~~~ ~~~?t~~Tj~~~1?~ <br />1'lli!1JI;~ititt".f-[Hlrf"'I'_"" 1.1..,j~"~,.v Ifl} 'I ,~'ji j , I ".1,1';4 r 'H~ f ~ L w>,:j!fl'I.H';ffjtF1~iJlt~l;r <br />~~L...L~~~J~~_.>..:~*l~~_~:':"":'~.________________~_~~L~j'::"""- I ) 1 I :jl l.,~ I' _""a.,ti ~ ' <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />******************************************* ********************** <br /> <br />ELECTRICIAN ~~~ <br />SIGNATURE - ~ STATE CERT OR REGIST # E: R 0 () I Z 2 Z 7 <br />or '^!> KO 6rlJ <br />****\************************************************************* <br /> <br />COMPANY <br /> <br /> <br />(,[2("" <br /> <br />f:lkPll C <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 REGISTIt <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />