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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUIrING DEPARTMENT 5335 8~H st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 It -3,(t .(-; <br />. J DATE RECEIVED - <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME f'R /+/'IC',S t>>. r~JI?-I.>(l. PHONE 8/J-IP 8-1- 4 tJ L{ / <br />JOB ADDRESS o'!:>-S'f tt7 ~s7 :).e.p Lift!' lLU" (0_ 3J>!:>-:t..f v <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID * I/-d& -'?/-OO/tJ- O~)CO- OlSO <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION [J ADDITION [JALTERATION o REPAIR o INSTALL <br /> o SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: [JSGL FAMILY DWELLING [JMULTI-FAMILY [Jt OF UNITS [J MOBILE HOMI <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL DOTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APfROVAL <br />DESCRIPTION OF WORK S (!.., (' -e...-e rV 'Koo I"""- <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 /> <br />PERMITS REQUESTED <br /> <br />[J BUILDING <br /> <br />$~t#~'~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />[J Progress Energy [] <br /> <br />W.R.E.C. <br /> <br />D GAS <br /> <br />o ROOFING <br /> <br />D SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />. 0 OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES 0 NO <br /> <br />i'-(--.-..,...~,.... -:- ...---.:------... ..-. - i- ---.-~~------ .- - ..~. -, - - --....-.~.-.-,: <br /> <br />~-_.'.._..'..:...._~ --------:.........-----.----- - -- _.'---- ~-----~--- .. ._- -- - - -. ~- -. ..:"'-.'- --"~--- ' ", <br /> <br />SIGNATURE <br /> <br />'5~M.)' <br /> <br />. ~ 1, ')~ <br />O~?-- <br /> <br />COMPANY <br /> <br />BUILDER <br /> <br />STATE CERT OR REGIST t <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />Z '7 '2.- <br />'yL'rTj)O~ COMPANY <br /> <br />STATE CERT OR REGIST f <br /> <br />ELECTRICIAN <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 />