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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUI1;LDING DEPARTMENT 53,35 8~H St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 r (/(q Ii) & <br />, ,I DATE RECEIVED _ L <br /> <br />I PHONE CONTACT FOR PERMITTING ~ '5 I - G? "5:J 5 <br /> <br />OWNER'S NAME ~A~ \)~ -:-5- ~ ~ S~~_._-- <br />JOB ADDRESS '~3~o\'-\. ~~. ~ <br /> <br />PHONE: <br /> <br />--1 ~y, "" -( \--\\\\$ ( "--- <br />, \ <br />LEGAL DESCRIPTION: LOT(S) , 7 -3, '-\ BLOCK ~\c SUBDIVISION <br />\, ,\ ) \ " ,"", '" 'J <br />PARCEL ID # \ \-o-.\.P -~\- l)Q\\::)--d-..'\:::)\..n~-v~\ /OBTAIN FROM PROPERTYTAX NOTICE\ <br /> <br />3r.ss-"1'"L <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />o SIGN <br />'\ <br />PROPOSED US~SGL FAMILY DWELLING <br /> <br />/ o COMMERCIAL <br /> <br />o ADDITION DALTERATION 0 REPAIR <br /> <br />t <br />o MOVE ~DEMOLISH <br /> <br />DMULTI-FAMILY 0# OF UNITS <br /> <br />o INSTALL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o MOBILE HOMI <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APpROVAL <br /> <br />DESCRIPTION OF WORK ~\..-..~. ~ C\ "v ~ cv.... ~ tU 'h, :.=). ~ ~- \. ~ ~ ~- ~."' ~~ <br />~ ., <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 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 />VALMATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <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 />!Th~""~7r.>'tf:""'-~~ ..~....- - l:'-I---.~-T""- _"_'_;~"4"" 1 r" l~ - _n_~_ '-...---:--~ -~ ~ .. - . ..'" I " 111~ -1"" -"j:,-\~r,:~~J!" <br />Ii: I; I, ,_ \I! II, ! I' I I ' 'I' I: ' ' t' ' '! I I,':', 't 'I t, ,~n ~ : I, <br />W_~"""'~__"""""'-'-'-'-_4---'4--1!.;;...~___..........~--_..... ~_""'4,,~""_~__4___~___ ----- -- - ~ - - ~ - ~- ~~~~--~-- ~--_................-- <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />~(J rru..~ <br /> <br />SIGNATURE <br /> <br />l.~- ~~~----- <br /> <br />STATE CERT OR REGIST # <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 /> <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 />