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<br />/(;~, <br />J <br /> <br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUIrING DEPARTMENT 5335 8TH at, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-7BO-0021 <br />,1 DAB RECEiVim:,f,if" ,.;>F:.:;\.~Gi;:; <br />,...,,',(), lr(~;4 <br />PHONE CONTACT FOR PERMITTING '~"~'.,'t:;~:",: "'<3-II~ <br /> <br />OWNER'S NAME <br /> <br />D tl<<;p ~ J ~~({/ / 10 17 <br />JOB ADDRESS. tQ3." ak (!f~S Waf! <br />LEGAL DESCRI PTION: LOT (S) ~ ;Z BLOCK <br />02- c2h-d-/- 023/J-()otY!(J-tJd;2LJ <br />WORK PROPSED: ~W CONSTRUCTION <br /> <br />PHONE <br /> <br />/- <666~g'o?'l-7g?'1 <br /> <br />SUBDIVISION <br /> <br />{kif (JgfEskks <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY , TAX NOTICE) <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />01 OF UNITS <br />o SWIMMING POOL <br /> <br />~BILE HOMI <br />DOTHER <br /> <br />BUILDING SIZE <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />.~cr!?t?.J1 rM!?7. 0/7 eX/6/r.%s/a.h <br /> <br />/;( X /0 SQUARE FOOTAGE / C; .;2' HEIGHT <br /> <br />DESCRIPTION OF WORK <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 /> <br />~ BUILDING <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ ~6{)/) tE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o 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 />o STEEL <br /> <br />. 0 OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />.. , . 7~oO Jh4)h . <br />BUIWER. :? CO~PANY: <br /> <br />SIGNATURE ~~ xf~ STATE CERT OR REGIST 1 <br /> <br />*************~::*~*******ff~*******A!A*~~*1*********************** <br />I . ~ L fl..TI ,..)~ ' <br />ELECTRICIAN COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST 1 <br /> <br />************************************************~***************** <br /> <br />COMPANY <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />STATE CERT OR ~EGIST # <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />MECHANICAL <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 />