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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 <br />,1 DATE RECE IVED \ (7.. - <0 ..oS <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME II y( /.../ U /1 >. ~ <br />JOBADDRESS 3L//iJ rO{J~ItIJ/,-lc ,Jr <br />LEGAL DESCRIPTION: LOT(S) ;;LS'1 BLOCK <br /> <br />PHONE II J ':27}'L <br /> <br />SUBDIVISION _ EfYJcv,j)u (Jf <br /> <br />PARCEL ID * <br />WORK PROPSED: 0 NEW CONSTRUCTION <br />DSIGN <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />D COMMERCIAL <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />D ADDITION <br />DMOVE <br /> <br />o ALTERATION <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />D DEMOLISH <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />O. OF UNITS <br />D SWIMMING POOL <br /> <br />o MOBILE HOMI <br />DOTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL <br /> <br />~//}d <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 />D BUILDING $ ~ L( 5-0 VALUATION OF TOTAL CONSTRUCTION <br />D ELECTRICAL AMP SERVICE 0 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: 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 AREAO YES 0 NO <br /> <br />I!:{T~~=,--~=':=_ =__~I:=- .=nu - _ _. -.. i--' _ ___~~ ~:.:..:~ -.::; <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST * <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <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 />OTHER <br /> <br />***********************************.********~******************** <br /> <br />/?/S OA/ (O~Ct--{l-c <br /> <br />, <br /> <br />COMPANY <br /> <br />SJ!j- <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br />