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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUIiLDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />I 813-780-0020 FAX: 813-780-0021 <br />DATE RECE IVED <br /> <br />I PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />! <br />L_Ci.rry <br />S 731 <br /> <br />, ~h.{lii-!'" <br />/ ~t1: <br /> <br />~rr -e.e.. f <br />I <br />BLOCK <br /> <br />--- . <br />PHONE k13 - 31 l-,)f?(}:J <br />~.nA1rh-r/1 (' FL. 7Js-Yz.. <br />f' / <br />SUBDIVISION <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # 1/- 210- ~/- rol 0 - 08(1X) - QoI./b <br /> <br />/OBTAIN FROM PROPERTY,TAX NOTICE\ <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />Os I GN <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <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 />0# 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 WORKf-r: ",' "rr C'" I c( l....cJ (., r t, .lLf tneS I.. !I /1.' (~~) /'l;JtJ f <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />2(?:c <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 />2, '-Iou- <br /> <br />I <br /> <br />VALMATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL $ <br />o GAS ~OFING 0 SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 AREAO YES 0 NO <br /> <br />~'~:~;--.T:~IT":"'-~'-;._'- -,--'''~'''''-.- -. ...eo "'I''' .._.__..~-"_.. - " ,.... . ,'''',' "-,T-'--,:,::'rrr~::j::;~',-' <br /> <br />, 1II1 ' It" tit I I I)'" It' I I . ' I ii' ~ ' f ~ 1-1 it l~' ^Vl <br />.:.:J...~:..c:;r~~...~..:..~~~_I~.......t_~_~-~~-- ___.'~__.L._,",-_~_____--- _ _ _____ __ ~_ ~_...:._~~_~~__--2...~ ~ "I <br /> <br />I r<{.J <br />BUILDER H J <br /> <br />SIGNATURE ~~ <br />r ~., <br />*~************************************************************* <br /> <br />COMPANY <br /> <br />11-0."......< <br /> <br />OV..,-Y1 e ~~ <br /> <br />STATE CERT OR REGIST # <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 />