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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUlrING DEPARTMENT 5335 8~H st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 ,/1~lo(p <br />J DATE RECEIVED - <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />JOB ADDRESS 3l.fJ7 ~i uumd.r/~ /,{Jay <br />LEGAL DESCRIPTION: LOT(S) S-i BLOCK <br />PARCEL I D # ~-4 - ~.. .N--- ooJ-O - oo()))- oS [0 <br /> <br />l';t~S:t;~O <br />PHONE -; ".~'" 8".' it 7'."'04 <br />,,zj,)t ....L,-, t" , <br />Toll FreE' <br />fO/I .. / ' <br />SUBDIVISION 1~ ~~~~aIlVt~ <br />- I2v ItPv~1' f <br />(OBTAIN FROM PROPERTY,TAX NOTICE) <br /> <br /> <br />~i' <br /> <br />OWNER'S NAME <br /> <br />K{)k-Lf <br /> <br />,8 aSJ <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br />Os I GN <br /> <br />PROPOSED USE: (JSGL FAMILY DWELLING <br /> <br />(J COMMERCIAL <br /> <br />(JADDITION <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />OMULTI-FAMILY <br />(J INDUSTRIAL <br /> <br />Oft OF UNITS <br />(J SWIMMING POOL <br /> <br />o MOBILE HOMI <br />DOTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />['{i1-iUJ/,! -/\!;tcl 6'{ -txiJ!' \fh-.6 <br />I <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. tJoG- <br /> <br /> PERMITS REQUESTED <br />f/J BUILDING $ P,JfO,JJ VALUATION OF TOTAL CONSTRUCTION <br />[] ELECTRICAL AMP SERVICE [] Progress Energy [] W.R.E.C. <br />o PLUMBING <br />D MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />(J GAS D ROOFING D SPECIALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />(J FRAME <br /> <br />D STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES 0 NO <br /> <br /> <br />BUIWER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST ft <br /> <br />ELECTRICIAN <br /> <br />******************************************************* <br /> <br />1~ r(llY (l:R JJ~ <br />~I COMPANY <br /> <br />SIGNATURE <br /> <br />- <br />STATE CERT OR REGIST ft <br /> <br />************************************************~***************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR ~EGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <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 />