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<br />" <br /> <br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />I <br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, Fl~ 33542 <br />I 813-780-0020 FAX: 813-780-0021 ,I I l <br />DA'TE RECEIVED ~;1l.:> _O<P <br /> <br />I PHONE CONTACT FOR PERMITTING <br /> <br />(' <br /> <br />6y <br /> <br />OWNER'S NAME <br /> <br />""I) AVI, D ~~Sv'" <br />~ 1-'-1 S,U .~\ (it( ("'ls, ~ ILL <br /> <br />PHONE <br />7- W t U....<; <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: ONEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE: ~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />/OBTAIN FROM PROPERTY,TAX NOTICE\ <br /> <br />o ADDITION o ALTERATION [J REPAIR ~INSTALL <br />o MOVE 0 DEMOLISH <br />OMULTI-FAMILY 0# OF UNITS o MOBILE HOMI <br />o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APpROVAL <br />I (L fL I G, A-r-\ b~J S'l(~~ <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 />VALMATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />}YfPLUMBING <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 />o 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 />~r;;'i!t:j1'"''1"T ,....,.~~~",r"7 - - "'-:~~I~- _.''"',-~':''-'' _M_ ~,-~."'- I r~~ll~ - --.-----, ~.,.........~--- .-- - j - ... .- r .. ...\, 1'--' 'j- ---'---I~:~~~~~~t.1J:!i1~~ <br />1 , I! 'II I' I' 1 ,I ' l I j I I ,I ~ j \ ., I ~ "I '-! n (1 I <br />Il.~~~..~~~__~~~~____:~_~.ll~____~~~~_~__~__~_____ __ _ __~_ __'-:'~.--!~__~J~__~_~~' if I <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <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 />~ <br />~/ / ~ COMPANY 1-&tL1l f <K1'~fL I Oft (G 4-n v,d <br /> <br />~/ ~ STATE CERT OR REGIST * tJ6 tj () cJ <br /> <br /> <br />~***************************************************************** <br /> <br />SIGNATURE <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 />