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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUI;LDING DEPARTMENT 5335 8TH st, Zephyrhills, ~L 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />, . <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME rYSf ;Zqt!t%ud OJ' ZeI4')J,1Is PHONE <br />JOB ADDRESS . 3 fS' 23 I 7- / ~f4 fiv-f'. 2. ,N; .;-:;{ <br /> <br />?cf2 :.... s-::;-?c,/ <br />33~-YL- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />\ \ -d-.(o - d \ _ 00 \ 0 .- {5(..:,00. OOCoO (OBTAIN FROM PROPERTY. TAX NOTICE) <br /> <br />WORKPROPSED: []NEW CONSTRUCTION <br />DSIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />[J REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOM <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT <br />7?~roo J,'"., n /3 ~C>J <br />CT ~ <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />~ -/-;:fcoJ <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 PERM~T 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 />:;YSb-V JO <br />.r <br />/ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br />o GAS ~FING <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />ac <br />$ 7~OO. <br />,/ <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: ~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 AREAO YES 0 NO <br /> <br />~'I..(~on>~r:""'''''''''''''~''"'''''''''''' --~,-!-"'~-~--'''''''~~ ---r"'~' ~ ~I ,- l~- -- ~----~~ -- --- IJ-~ -- ..--- _H -- -'-'~l- - '1;'- """7""""-,--j~_~r'7'F~;;;:J <br />~llfl; 1,1Ifjl," dl,II'!'T,' I I I 1:1 I I' I ~ ! ! I' '~'Itl, ~,rl",I~~il",~P' <br />~~................,~.~_~___.-..J.__-'--._._.............___J....ol-_.___~____~_ -- --- ----~--~~~-...............~~ <br /> <br />BUILDER <br />SIGNA;URE~ <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIS'!' # <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 />******************************************* <br />MECHANICAL . ~./ COMPAN <br /> <br />SIGNATURE ~~~~~ STATE CERT OR <br /> <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />