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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br /> <br />BUI'LDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />I 813-780-0020 FAX: 813-780-0021 <br /> <br />I 63'70 DATE RECEIVED <br /> <br />I PHONE CONTACT FOR PERMITTING <br /> <br />,/21.{ lOb <br /> <br />OWNER'S NAME <br /> <br />/ <br /> <br />(7Q'f( <br /><)~ cJ ).;L. <br /> <br />C ~Ij <br />,u. Ihrd <br /> <br />PHONE (t/J) 7fT - ( r f 6 <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />// -- 01- C:r - 2. (-c/c){ 0 -- ~(;O </ ^- 01'70 <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICEl <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />OSIGN <br /> <br />PROPOSED USE: ~L FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br />iz;r(OVE <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />O. 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 />/(j/I/~ e~, k/~1 fe/(/A::.G- ~~r. r? ~(Lf5 <br /> <br />vel! <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 />~ <br />3 c:- ~::... <br />, ::>, <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br />~LECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ ,. .r-u. d v <br />~~ ~ ^ VALMATION OF TOTAL CONSTRUCTION <br /> <br />.J ~~ AMP SERVICE ~rogress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <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 />~l~~:'~~T-TI~"""',^, ...~~, ___~_____.'-_~~~~,^_~_+~_fl'" ~Ir.l~ --~-...,--~-~~ -~ I". ~ ~- i ~~ ~~~ I'-'~~ ~_. ....i.,.'~~~IJ~rt'1-~JTJ,,",~ <br />I: l I I r 1 I tiP I I " " I ' ' I J ~ ~~ rf I I ;i;:~ ilJ I <br />~f-Il l,' ,It' I 1,1 ' r I' r I t-! It. , I It', t I , c I: I I I 11~)'} , Ir~ I" <br />~~___............~.~~~__~........-............;J.__....~_~~_~___.J.....;J._.~~~~_~_____ ------ ~---- ~----~------~--~ <br /> <br />SIGNATURE <br /> <br />A cJ:J <br />~ <br /> <br />COMPANY WV1 <.r <br /> <br /> <br />BUILDER <br /> <br />STATE CERT OR REGIST . <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />uJ( Lcd C'4rh/!~~ ekc;t~ <br />;!.zrhrrt1't "0 tvvri< . <br /> <br />COMPANY <br /> <br />ELECTRICIAN <br /> <br />STATE CERT OR REGIST . <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br />