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<br />-t <br /> <br />CI~Y 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 ~ &, D(p <br />~~ <br />PHONE CONTACT FOR PERMITTING (d.7 - q \ 9 - <1 \5'3 <br /> <br />OWNER'S NAME L9/J AJ u..r dUII1 L5 <br />76("5 !11e(c)\ aAv l'lf t <br />LEGAL DESCRIPTION: LOT (S) / ') <br />3S--;;,2 5' ;' ;;;./ - CJ{).O - ?' -() /3 Q <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION (!f?S IlIre-iJ II: / I) <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICEl <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br />DSIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR rEtINSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK .5 ~ f, N \1er~ ~ ~ <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 & (l) 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 />0 BUILDING $ \bOO. c::ro VALUATION OF TOTAL CONSTRUCTION <br />0 ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br />2"PLUMBING <br />o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />o GAS o ROOFING o SPECIALTY 0 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''''\~1Jif'"'''''~~'"- ~~'--"""~-~'~~~-"-~"-'''''''"'"'l- ''---~--- -- - --- - ."" ".t '-'''--''''''''-~"--~'~''-~";::C::"'''''~'7'~m;:'''$!1' <br />l:lr~\qjffi'f(;;ttl~:I;~I'll':;:,~I'",' I/~lr.j~ 1<1,/j'tTl. 1111~{""! .): : <)'1 " i, "'!1l't~f"~~1i../lt" l,j~~~' :',I!/t,l:rlillj-(':,.;14~~jlr..I';~~~t~~4J1_~~i:i~ <br />~wmrll1 hl:i,1\}Jl'l,;IJ",tl1 f"~'p' t !~'('t'1~t:"lli~,--'11 ~~)I<tft, 11 ':! ',. ~I " l" ,tl~:r. lit;! ~ li~j;~, lr' 'jJ ,".' .,I',r' ~ ,)~":c~?Itf;f~H~~.r <br />~~""~~~~""-""-~~"'~A__""""_"'~~_~'--'_~"'..J......~__~_____ ~~""~-~~ ~ <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 />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />~~ <br /> <br />COMPAN~~'W\e{ \CQtf~:rr r I~ <br />STATE CERT OR REGIST * <br /> <br />SIGNATURE <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 />