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<br />'01.1' <br /> <br />CIrY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUI'LDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />I 813-780-0020 FAX: 813-780-0021 <br />DATE RECEIVED <br />I <br />I <br /> <br />PHONE CONTACT FOR PERMITTING 8'3 fjSz. z-, 7?::, <br /> <br />OWNER'S NAME M A12c \) S Pa.l cr;- PHONE ~13 3io 2 ~4-4 <br /> <br />JOB ADDRESS.4Qi+1 L-~ st- -2tt) U ~ 33s l.f'L <br />~i'l":>' '80' 0;: LO~ <br />LEGAL DESCRIPTION: LOT(S)I '2 '3 Il, BLOCK 12- SUBDIVISION M6V~b-") I~r ItOD InoN <br />I I , <br />PARCEL ID # ' L-\ -2.~ - d \ -00\ (j - G\2GG 00\0 (OBTAIN FROM PROPERTY. TAX NOTICE\ <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[] SIGN <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br /> <br />~MMERCIAL <br /> <br />[JADDITION <br /> <br />[JALTERATION <br /> <br />[] REPAIR <br /> <br />Q-iNSTALL <br /> <br />o MOVE <br /> <br />[] DEMOLISH <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[]# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOMI <br />[JOTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL <br />DESCRIPTION OF WORK ern J..Q 1 :'~~6 . L 0- ~ 4-0()0 scv {j. <br />BUILDING SIZE '~9.ClO S" .fJ ' <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 PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />[J BUILDING <br /> <br />$ <br /> <br />VALMATION OF TOTAL CONSTRUCTION <br /> <br />[J ELECTRICAL <br />[J PLUMBING <br />[J MECHANICAL <br /> <br />AMP SERVICE <br /> <br />[J Progress Energy [] <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES [] NO <br /> <br />~ -I"~-r'i"rll'" -~ --<- -, - -'T~--- ~ -,..-~............,..".....- - - .t~.... ~ I ~~,.... - __.---r~__t-""-~_ -- ~ I '" ~ ~ - i -,~ j" -~ . ~ - , ~ -, -i"--- ~-' -}1;'f-~'~~fij:E:~ <br />)j', Iii! I If ,I ill i l' I ,'! t ( I I t I ~ I j jll_~,tIJ,tt:/mtk,l1 <br />~~~+..~~_~_~_~~_~~_~__~__'-1_.I_____.:_________~__ __ ____ ~____ ~~~_______-:w-__~__~__-'-'-~~~ I' <br /> <br />BUILDER <br /> <br />COMPANy'~N <br /> <br />Q.l-rr- (0 N 012~ . <br /> <br />SIGNATURE <br /> <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 />