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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUIiLDING DEPARTMENT 5335 8~H St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DM~E RECEIVED <br /> <br />t~/\~/o<5: <br /> <br />PHONE CONTACT FOR PERMITTING ~\~--{'3d - \~'30 <br /> <br />OWNER'S NAME M OlV \' V V\ vV\ cT VI tv V"{ <br />/ <br />JOB ADDRESS~ J DJ ~) I J f:- e.-'" j' '1 D,.. <br /> <br />PHONE; <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # 15 - L.Eo - 2.1 - 0\(0(, -OOOQO - C 2. 2r 0 <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />DADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />D INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOM <br />DOTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />R.c. Ire () t <br /> <br />20 <br /> <br />SA} <br />~ <br /> <br />LI/ <br />-/ <br /> <br />~ S- y rZo.- y- <br />,/ <br />J,OOO <br /> <br />~ \~b ~ <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 /> <br />D BUILDING <br /> <br />$ <br /> <br />3<?2o,oJ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />D MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />D OTHER <br /> <br />$ <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 />~-,,-,'--nF"'" ..".. - ,.,." -'--...--'-~..~. ......,.... , , , . -~ ,----,~--~.....- - - - .. - .. ' ,..... '....,. -- ....' -, -,,-'-"-~'='~-' <br />'I i ~ _ I , I If' ,: I' I I ~ I I I I , 1 I I' I, I, ;,' \:'11 I ';':"1/'11 <br />Ii 'II jl ," I i I ,I II' r I I I II I I, ,III I ' I : . I, I \ I ,1 'T -~ ftll'] j IW' 1~ <br />~ I II 1'1 l~ I) \1' <br />_* ~~___~.-.J._L;.__~~_~____._~___~___-- -- -- ----~~~-~~ <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 />STATE CERT OR REGIST # <br /> <br />******************************************************k*********** <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 /> <br />OTHER (1 D f) -1-" ruz <br />SIGNATURE ~~~~~ <br />----. <br /> <br />COMPANY 50D!t 1)1 fA J?vta. h f4JU ~ j <br />STATE CERT OR REGIST # CC CO r 77 \7 <br />- <br />