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<br />. . <br /> <br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION 631\ <br />BUH.oDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />I 813-780-0020 FAX: 813-780-0021 \ 13Dl Ola <br />;, DATE RECEIVED " <br />I t\ (>{'~ ~~, ~~,-~.o-- <br />I PHONE CONTACT FOR PERMITTING 8\3 ~~~ d-o-aO <br /> <br />OWNER'S NAME 1 tflJcfl P 50 \iTH ~I rr20 ~ M NGiPJlONE +07 -', 1) - ~~ '1 5 <br />JOB ADDRESS '73t3 G/tLA- ~VD.. (':S 0 I) <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID It 1f- -z.)" - Z 1- () 000 - 00300 - 60 '2-0 (OBTAIN FROM PROPERTY TAX NOTICE! <br /> <br />WORK PROPSED: o NEW CONSTRUCTION o ADDITION o ALTERATION o REPAIR o INSTALL <br /> ~IGN o MOVE 0 DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING OMULTI-FAMILY Olt OF UNITS o MOBILE HOM <br /> ,",COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK J N t;TA t.L WA-U- <;1 L G ~ <br />I <br />BUILDING SIZE It;; <;'lVrze:FC20tJ'1S"QUARE FOOTAGE <br /> <br />O~ $Wf2.e:P(Z..ONT <br />1(0 ~ <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />G2.5..00 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INST~LLATION <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 /> <br />SIGNATURE <br /> <br />COMPANyArp~ S/~IJ.b- AWNIN& , <br />. @ <br />. S,!ATE CERT OR REGIST ItCr? ~J J 8 12- <br /> <br /> <br />*****************************~~~~*~**************************** <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />t-J /A <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 />