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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUI'LDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />PHONE CONTACT FOR <br /> <br />/-19-0~ <br />DA'l~E RECE lVED <br /> <br />PERMITTING 'OJ 3..- g70- f.oq ~ Lj <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PHONE: ~~:~'-'l~' { <br />2~ h nh;\/5 Fl. '73/3-&10- 2f!60 <br />P fi 335&./2- . , <br />SUBDIVISION <br /> <br />JOB ADDRESS <br /> <br />~{( . Lv-+ucj1/;N <br />, "'5t! ~ 0 '3 (Y1<I'tD00 WOO ~ L P <br /> <br />OWNER'S NAME <br /> <br />PARCEL ID It <br /> <br />, '3 - ~ (p - ~, - D' '-t 0 - uaxv- O~ \..( c.J <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICE\ <br /> <br />WORK PROPSED: DNEW CONSTRUCTION o ADDITION o ALTERATION [] REPAIR ~INSTALL <br /> o SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE:~SGL FAMILY DWELLING DMULTI-FAMILY Dlt OF UNITS o MOBILE HOM <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL <br />;;;,12- T;J Ale C-tfAN&tC t9vr <br /> <br />. <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 />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />Jf MECHANICAL $ 3) '100. f!? <br /> <br />o GAS 0 ROOFING 0 SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o 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 />~l -ro;--r.,...".--rlT'l"'i"......""" ~..,.,...,..., _ ...~1-1....- ...-_,~ _ ... .,~~ -- _--,,_~".ri 1 H~ . __~ ~_~ --~ -~ ~ -- 11' ~ - ~ _N -- -- _H~ ~~- - ~ ~ - - __-r->_ -,~-~TI'" <br /> <br />I I ~ f I If ! I' , I ,I ' I I ~, I ,I I f ;l'" H ~ 1 ~ ]1/ <br />~,,,,' I,',', ,', ' : ' , '" ' ",', "':"'I!,(',,'," <br />--,"-~~___'<:""':":":~~_"".~__'-----___~_~___~___~__________ ___~ _~_ ~~~.;;L....:..;.:;~-~ <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIS'l' It <br /> <br />****************************************************************** <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 />MECHANICAL ~ <br />SIGNAT~ ' <br /> <br />****************************************************************** <br /> <br />COMPANY ALL - T,uH AIle.. <br />STATE CERT OR REGIST # C 1ft I cg I Lj (90 <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />