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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUI!LDING DEPARTMENT 5335 8TH St, Zephyrhills, F.L 33542 <br />I 813-780-0020 FAX:813-780-00217' ~ <br />DATE RECE IVED / - .j! - 0 <br />I (-::-€LL ~(3) 7 iJ or6'-( <br />I PHONE CONTACT FOR PERMITTING 9/5 9 73 . en q f <br /> <br />OWNER'S NAME <br /> <br />rJlf LL/S <br />~9.5r ~ rt <br /> <br />//u A/7 <br /> <br />. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PHONE ?/ ~ <br /> <br />2~7r~'~ <br /> <br />SUBDIVISION <br /> <br />77'1573( <br />PL.-II <br /> <br />JOB ADDRESS <br /> <br />5'}?l 8?;,t'T <br /> <br />PARCEL ID Jt <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICEl <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />o SIGN <br /> <br />PROPOSED USE: ~GL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />[JADDITION <br /> <br />~LTERATION <br />o DEMOLISH <br /> <br />[J REPAIR 4fj'INSTALL <br /> <br />o MOVE <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[JJt OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOMI <br />[JOTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT AP?ROVAL <br /> <br />Ur:'C/lROcr S'\C:/lVQG'~ /tfl)/I7l 10 c?oo ~ <br /> <br />BUILDING SIZE ~ARE FOOTA~ ?57J1 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 />DESCRIPTION OF WORK <br /> <br />// --~11 <br />PERMITS REQUESTED It...:J- <br />// <br />~ <br />VAL~ATION OF TOTAL CONSTRUC ON ., <br />--- <br />~ Progress Energy 0 W. R. E. C. <br /> <br />/' <br /> <br />o BUILDING <br />~ ELECTRICAL <br />o PLUMBING <br />[J MECHANICAL <br /> <br />$ <br /> <br />2tJd <br /> <br />AMP SERVICE <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 />~FRAME <br /> <br />[J STEEL <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES~ NO <br /> <br />trl!~~,,,..,..,..,~.tT ~,.,'_n r-~ -, - --,.-, ~I~ ~..- -~---.- -~- .-.;~~,.. ,.. i r' l~ - H_~~~~_~__ --- ~ ('.. - .. I ~. .1 .- -~ ~ ~ ~.. - j- -- +j JV~J:.:~1tpr? <br />mil 111, I, , I 1)1 1 t ! I I n ~~Ir"jt~~iJ <br />r~~~~~~~__~_~~--l_~"~~'~~_ ~~__~._'___~~______ ~_ _ __ __ ~~ ~~__~__~I~~~.....~----l...~~~! II,' <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT o~ O/S-S..<C' <br />****************************************************************** <br />,d / / ~ / COMPANY ~!eO'}11C. Ll c.... <br /><~~~/~ STATE CERT 0 REGIS Jt O/5S~' <br />*******************************************************~j~*** <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST Jt <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 />