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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUHDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME ~/;L//// r J. /ji/ <br />JOB ADDRESS . /(' ft2,1 /;d/,I'-1/~. ,7- ~~ <br /> <br />PHONE F/1) 7?:Y"9c:J// <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # ~/ ;?tJi 53 '3' ~&' /-/~ -,fl /OBTAIN FROM PROPERTY TAX NOTICE\ <br />1'-1 -d~-dl-cx.:>\b . Unoo ,-oooto <br />WORK PROPSED: DNEW CONSTRUCTION 0 ADDITION o ALTERATION 0 REPAIR 0 INSTALL <br /> <br />o SIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOM <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APpROVAL <br />DESCRIPTION OF WORK (~~ ~~A2 /~ ~ ~ ~hA;7~ <br /> <br />v <br />BUILDING SIZE SQUARE FOOTAGE 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 />o BUILDING $ (p ry.:' . () J VALUATION OF TOTAL CONSTRUCTION <br />o ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br />o PLUMBING <br />o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />o GAS o ROOFING o SPECIALTY 0 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 />1f'1 "(~"'~~rT"''''''''~'':,~ --- ----;~~~-.-,- 'I....,.........~--; -t;-... ,- I r-- ,~-~- ~-~-~-- -~- ~~~ - ,T'" - -'--~i, -~ _r ~- - ~ .. r -,...- c:r'T.,...,.--:---~r\.-;r;;;<,:rmT <br />lit.il 'I ,1~[III,I:t Ii ',.1. I I I ,1' I II I )1 I ~ ,! I I J -' I' j _~",lrt/,'1 tt;~"J~1 <br />~J' j I,' I I , I' I ' , t ) .. j . I"~ II! j <br />_~~.~""~__":'; _:= _ ':,..__ :;:; _1._. _____ _______---------- _____ ._~_~~..:1_~~L_~~_L <br /> <br />SIGNATURE <br /> <br />..A,.J' A PPI JCABLE BUILDING, <br />~qRICAYPLUMBING AND <br />, MECHANICAL CODES.- , It: /t)' 2... <br />~ ~ I~ STATE CERT OR REGIST # <br />Z-r;I::JL. r-t ~",N~ tl\ l c..~Ot:..,> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br />SIGNATURE&~/.~Jf?$ <br /> <br />COMPANY~~~~~~~ <br />STATE CERT OR REGIST It E;(; J.fCl {J ~3- J -1:7 <br /> <br />.--....- <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br />