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<br />CITY OF ZEPHYRHILLS PERMIT APPLICA.'l'.LUN <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />/~-7- O~ <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />~;:J ;' j"rlWH ~ ::1rj.i \heE <br />PHONE .t:t.i::..6-824-1 b9~ <br />loll F reo- , <br /> <br />SUBDIVISION f ;//t.~ . r;~e <br />fir... TW() <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />OWNER'S NAME <br /> <br />. <br /> <br />P/~rr( Clr4-rd <br />J175(, 1/ IA_J~.1l..1\ CUt!' <br /> <br />JOB ADDRESS <br /> <br />PARCEL 10 # <br /> <br />(,/ <br /> <br />OJ -~ -,J/- oo/J)- acXJQJ- Ot,I/ <br /> <br />BLOCK <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br />DSIGN <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <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 />c=J RE~TAURANT & HE~LTH DEPARTMENT APPROVAL <br /> <br />~DllJf <br />../ <br />SQUARE FOOTAGE <br /> <br />~ rotu.. cI <br /> <br />lJI9 r()fL.A cI <br />w <br /> <br />~6/ <br /> <br />,. <br /> <br />DESCRIPTION OF WORK V11J9/ <br /> <br />n t <br />:1 II V .1/1 I <br />BUILDING SIZE ..:1 7 ,.. ~ <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 />.9! BUILDING $ /, c)a). 3l VALUATION OF TOTAL CONSTRUCTION <br />0 ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br />0 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 AREAD YES 0 NO <br /> <br /> <br />BUILDER o~ I'/~rr0, 6?-irfLrcl <br />SIGNATURE (eA,)~, I> u~ <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />******************************************************ck*********** <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 REGIST # <br />