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<br />OWNER'S NAME <br /> <br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUI:LDING DEPARTMENT 5335 8~H St, Zephyrhills, FL 33542 <br />I 813-780-0020 FAX: 813-780-0021 <br />DATE RECEIVED <br />I <br />J <br /> <br /> <br /> <br />/t;c /~ <br /> <br />I . <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />PHONE <br /> <br />1/3~;2 73 L <br /> <br />JOB ADDRESS <br /> <br /> <br />( PI Ie, <br />3// <br /> <br />Or <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br /> <br />PARCEL 10 # <br />WORK PROPSED: DNEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICEl <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />[] INSTALL <br /> <br />[] MOVE <br /> <br />[] DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />[]# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOMI <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />(OAfCrCfC 5t~;j <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 PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o BUILDING <br /> <br />$ )2lj 5-0. C;U <br /> <br />PERMITS REQUESTED <br /> <br />VAL~ATION 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 />o MECHANICAL <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 />o STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />~!~:rr;f!''''; ''1', ~r ~ - -- -'-"'~'7'''- ~ >"fCMi ~ -- -"~,. ff -, M~ l-~ - __T---->___,--~___ -- - ~ ! - - ,n ~ I .... I -! ~ I-~- "TII'I'1 7,-,' - J) l;,TIl~I[1f'l~r;,~~ <br />~ll!!ltIJI 'Ii' 'I I' 111 I t II. ' I' I, ~ f' II~ ~'\'t\":l./]r\ <br />',~ j t 1 I I' II , I' I I I I t I , I I I ' II r ~ "j I' I I ) r ~ ,~I 1'r 1 <br />..~..:.J...o.:.;.;~~.~~___.__~___.... X_..,~~..j. ~~_.~~...:.w.__~______ _ _ ___ _ ~ ___ ~~~~ _ ___~~.....~............. <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 />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 />OTHER <br /> <br />***************************************************************** <br /> <br />TjlSON CoN(~C/'- <br /> <br />COMPANY <br /> <br />Old- <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br />