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<br />CIrY 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 ~Q <br />I PHONE CONTACT FOR PERMITTING ~''t-, Wo '-4'11 <br /> <br />OWNER'S NAMED,ClrQ ~CS~l1 <br />JOB ADDRESS lo\ \~ \~~Y\ ~ 1 Cef)hqJ1illJs J r:L ~'3 S'-\~ <br />LEGAL DESCRIPTION: LOT(S) 6~9D BLOCKDocoo <br />PARCEL ID #~Q.g.~'a\ ..O\<1D'CCXX::O -D39 0 <br /> <br />PHONE: <83-acG.519~ <br /> <br />SUBDIVISION <br /> <br />O\'1D <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br />DSIGN <br /> <br />PROPOSED USE: ~L FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />~TERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />O. OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOMI <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL <br />DESCRIPTION OF WORK Ttni.- O,{ MJ ~CO~ ~\ 13 Of) ~ 5ha '8Iop.t '4J! ~ t ~~es <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 />~LDING <br /> <br />$ <S~~ <br /> <br />PERMITS REQUESTED <br /> <br />~ <br />'. <br /> <br />VALMATION OF TOTAL CONSTRUCTION <br /> <br />~ <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 />$ <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 />~ _,~__"~"_,_. ,_'" _ ~____~~__~~_ _ _.__.., _ 1___ --.-----~-- -- - . - eo. -. ---, ' ---., H --- - (-"'=O~--- <br />11.: I " II I I I' 1 ,I , I, j I' J, J I l II! I ':~~lfUI,l~t~;r;I}T:l <br />1 I 11'1 It I t i I I, I It' I "I I "I \ ,:I, ~, .... fir ;i!f <br />l..:l~~~.-2~_~~_~_~L-l_"''- ~~"'_....... ~ _...-ol _~I~___~_ __~_____ "~__ ~__ ~_ ~_ ~_..:-~_~~_L~!.-____-L-_ . !~ <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 />- <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 />***************************************************************** <br /> <br />:::f-~~~:- - <br /> <br />II <br /> <br />COMPANyQuaL"I1/ ~l&@=~' <br /> <br />STATE CERT' OR REGIST # 0 <br /> <br />~,<"p"~,..{.:;",.- <br />