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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUIiLDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />I 813-780-0._.,020 FAX: 813-780-0021 <br />DATE RECE IVED <br /> <br />I PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />~/ fJ1 ,q,~----./ PHONE <br />Cj i' 77 <I- J/.oL<t'-d-:r ~ -2 - J, .I'i/.a; !=L <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />S-:J.. <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />f /S - 7 /0 -.2:J~y <br />3 .3 ~~dl <br />[I.Aj~-<t~ C~ <br /> <br />JOB ADDRESS <br /> <br />PARCEL ID # oa - ?llv - ~ \ - DOCS) - rY.-LXD. Cf5'd. 0 <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICEl <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />DSIGN <br /> <br />[J ADDITION <br /> <br />[JALTERATION <br /> <br />J1(REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />OMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOM! <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APpROVAL <br />DESCRIPTION OF WORK (.2e {<oot=: <br />BUILDING SIZE .I 6 )( .r .f' <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 />$ ~oou, 00 <br /> <br />VALMATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />[J Progress Energy [J <br /> <br />W.R.E.C. <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES [J NO <br /> <br />,,, -J'-....7-rq' \"':w ....~..... .."., _, _ _.....-,.____...-,.-...--_..._~ --- . -~,~ _ I '1_ - ____~___r__~-~~ -~ - - T t - . -" - - - "+~ ~ ~ ....... ;---;, -1- 'tT~l''i''''''-r It"" <br />~!! : ' 'l' ," I I " " , ' , I.' , '~,'" I " '.' I -~ i 'I::f~j; ~', <br />JfljtJL, "'j- I,' r'1 " I I " I 1 I) 1 - <br />_.......~~~.~.......~__.~~.......J._J.;;....~_~_~___........1_..___........~-~----- ~----- ----- ~~----~-...............- <br /> <br />BUILDER <br />SIGNATURE vf<'~ 1iJ. t-;.,L~ <br /> <br />COMPANY <br /> <br />-\--Y':"~G~~'-- <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <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 />