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<br />~ <br /> <br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUI:LDING DEPARTMENT 5335 8TH St, Zephyrhills, F][' 33542 <br />I 813-780-0020 FAX: 813-780-0021 <br />DATE RECEIVED <br /> <br />I PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME t..t'v-' .'S <br /> <br />~~fk?77~ <br /> <br />PHONE /27- C(22- U/3 <br />. <br /> <br />JOB ADDRESS ,,~ 7 3 3 7 <br /> <br />Li:J LA i: It L. /IF} /'Jr/"'lu;, K: b ~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # '3Lf, J.<;) -J./- C/3U - Doooa -O~9 0 <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />DSIGN <br /> <br />o ADDITION <br /> <br />/OBTAIN FROM PROPERTY.TAX NOTICE\ <br />o ALTERATION [J REPAIR urr;;;TALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />Oi OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOMI <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK Z..vrJ),4./( 0 cm~~ () tJ (>0 e-c...H- llJ?e4:. <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 PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br /> PERMITS REQUESTED <br /> ...-- <br />o BUILDING $ //5 ?J. VALMATION OF TOTAL CONSTRUCTION <br />-' <br />~~TRICAL 2<->0 AMP SERVICE 13,/'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 AREAO YES 0 NO <br /> <br />1~1I~"":-''''7-rrl'"'...~~n:~''''''I'''''''- --~--~~"--~'7~-~'~"'~"''''~ tr 1- --~--~-~~- ~- - ~ . -,,~ ~ ~~ *_)1 I~"'-:~~~~ ~l,~'-;'l~j-f-(F~b;~MlrIl~ <br />l~l,r.'!I":'ljj 1,1)/ II., t',I.,1111. 1 I' I I' I, ~ ' :,,' I" 'I':~l_t~'~t;i~!l!,l <br />~_.,.....~............~.~_~__~~-.o....l-_~"" .;..Jl.,,:._~~-,--_ ___~~~_"-___~~___ - -- --- ~-~ ----~--~-------~- <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN / ~ <br />SIGNATURE ~0'" , ~ <br /> <br />4. /I. ,,- .,,( ~ <br />COMPANY 'j" ;) A- jz:. -e' cll!!.,,' C <br />'r <br />STATE CERT OR REGIST # ~R... 00 1~-2-i.(({ <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 />