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<br />.' <br /> <br />~/ <br /> <br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUHDING DEPARTMENT 5335 8TH St, Zephyrhills, Fl. 33542 <br />I 813-780-0020 FAX: 813-780-0021 l~ I.. I~~ <br />" DA'rE RECEIVEP~ <br />I l60b /::5 e an', () e.. <br />I PHONE CONTACT FOR PERM.ITTING f<3~- (o<6on <br /> <br />.. OWNER'S NAME G ~ \-L) ~ Q...,)) S~. ~'S C'v\., Y <br />JOB ADDRESS 313 I I P'CJ~~) )s M,\\.A.... <br /> <br />R\ <br /> <br />PHONE <br /> <br />~D ~ ) z,f:~P\4y~ N\\...L<">j-F l- <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION~\""\)t~ ~~~ V)~ <br />PARCEL ID #0'3 -..;( 19-~ 1- C)~~O ~ C) OC~~ -0\5.B (OBTAIN FROM PROPERTY. TAX NOTICE) <br /> <br />WORK PROPSED: ~EW CONSTRUCTION o ADDITION o ALTERATION [J REPAIR o INSTALL <br /> DSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE:~L FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOBILE HOM <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK \0E. LC) R.-E. 'S \ t) ~ ~ c:...S <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />~ BUILDING <br />~ ELECTRICAL <br />~ PLUMBING <br />~ECHANICAL <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. i> O)",2~\-- <br /> <br />_(\~I Su.bs - S\C)Y'l f~fY\J, <br /> <br />PERMITS REQUESTED ~('\~iNOC. - if'nlSS'c:\ v/' <br />J)l~\~.- - <br /> <br />$ ~,5'"DJ 000 ,,~o VALUATION OF TOTAL CONSTRUCT'~ON ~ - BD- .../ <br /> <br />~~ ~ AMP SERVI~E 0 Progress Energy 0 W.R.E.C. <br /> <br />o GAS <br /> <br />~OOFING <br /> <br />$~j~~~ ,~~ <br />o SPECIALTY 0 <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />OTHER <br /> <br />TYPE OF CONSTRUCTION: ~LOCK <br />FINISHED FLOOR ELEVATIONS <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES ~O <br /> <br />'it ff:-r-t....~T .......-,....." ,rl~- - ~--.,..,........-,~--..-r--~..,., ,-,-_M_ -, ~.~ ,- 'r- t - -r----~--~ - ~- - - ~ ! - f"C - - --, -- - -~~" ",- M -,..- ~TT"C:---~t:';;:";"':rT....T'" <br />m I I I I' 'I r , I I t, I. 1, II I I I It' ! ' I I 'I I I ~ J ~ I ~. i ~ <br />r!~~.~_~~..~___I,.~~.~_~~~__~_~...~.:-_~------ ___ ~~I__ _.~l___~~~-l....~' <br /> <br />BUILDER ~ <br />SIGNA;U~~ ~. . <br /> <br />COMPAN~bs~N\ Not-J\S's c'F p~("~ H..)I::J , <br />STATE CERT OR REGIST # G <br /> <br />ELECTRICIAN <br />SIGNATURE ~~Vi~ <br />, <br /> <br />COMPANY <br /> <br /> <br /> <br />****************************************************************** <br /> <br />PLUMBER ~ f) <br />SIGNATURE ~ . '\"u..A_OCL~ <br /> <br />****************************************************************** <br />~0"\~ l;..), \\,~) <br />COMPANya(j',-~ y 0 ~,3G& <br /> <br />r' <br /> <br />I"' <br /> <br />STATE CERT OR REGIST ft R (3DcJ 1353 <br /> <br />~ <br />~ <br /> <br />"/':~ <br />/':r2.? <br />COMPANY ~)I)c::.;C)\ ~ \:-\ ~ ~ e7 <br />STATE CERT OR REGIST # C;:::lCOj~? bS- <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br />SIGNATURE/ ~~ .-' <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />