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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUI!LDING DEPARTMENT 5335 8u St, Zephyrhills, FL 33542 <br />I 813-780-0020 FAX: 813-780-0021 <br />DATE RECEIVED <br /> <br />I PHONE CONTACT FOR PERMITTING <br /> <br />/- ,i/- O~ <br />I <br /> <br />OWNER'S NAME Z -1Ij / Is V~,iv~~ C?t~ I( <br />/ <br />JOB ADDRESS ~bS G.+t( of vo . <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 It <br />WORK PROPSED: DNEW CONSTRUCTION <br />DSIGN <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />~COMMERCIAL <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICEl <br /> <br />o ADDITION <br /> <br />~ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />DIt 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 AP~ROVAL <br />Fkc.~, c 5'ne\.flc.~ Up_ 7--e-"1c/r ;(,) -..200)1 <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />PERMITS REQUESTED <br /> <br /> <br />-,/ <br /> <br />('// .1) <br />! c'K' :3 ~q/ <br />----=" <br /> <br />o BUILDING <br /> <br />$ <br /> <br />~ <br />foo- <br /> <br />VALMATION OF TOTAL CONSTRUCTION <br /> <br />~ ELECTRICAL <br /> <br />Ze:.O <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 />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />'-~""~'1'fff .."',.......-,~-,.,. --I ~ ___....-I,.-~.~.,...,.__k,...".....--~..__ -~.....- ..~ ,- -- ~-..........,~-~.---------- -- ," - .. ; -+ --;, ~ ~ '" --f-I-''''' :-:171-11,1~i-r-It..~~-;-'T"'rZI <br /> <br />l~11 ,1 ~I I,,, Ii I Ill, II '. I' r II 'I! ' , J I Ii 1111 I, j ~~'l'~!),*;ntt~h <br />/1,J,"l'\r'rlj',I,llrlll,IIJ'II'!l"..ljl ,I \' I _', "I ,', '~I~ <br />~~~.~--..__..__~__,..,-.;;...L.:..~--,1~_ ___~._..:w.....____~_~________ -- --- --~. ._~~ ~~-~ <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST It <br /> <br />****************************************************************** <br /> <br />'LECTRICIANcy~ A.% <br />SIGNATURE <br /> <br />COMPANY A0~v 5 E d~ckl ( <br />STATE CERT OR REGIST It ~S~ <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST It <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST It <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST . <br />