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<br />... <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLIC~TION <br />I <br />BUIiLDING DEPARTMENT 5335 8~H st, Zephyrhills, FL 33542 <br />I 813-780-0020 FAX: 813-7BO-0021 <br />..! DAT:I!: RECE IWD <br />i <br />j PHONE CONTACT FOR PERMITTING <br /> <br />~fVo.( tkm ~S <br />JOBADDRESS 75S~ J1lelVhcW~,'Il( (lIre-It' <br />LEGAL DESCRIPTION: LOT(S) l6 <br />'f 5 - ) 5'" J I - old. () - f - 0 lOG <br /> <br />PHONE <br /> <br />OWNER'S NAME <br /> <br />SUBDIVISION {Jr&5Nt{.,t<.j t{lk <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR ~TALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <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 St r \ ~ \v\C(~ <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 /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />~UMBING <br />o MECHANICAL <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 />11t:~~~'i"'''''''~'tt''''''''l''"''i'' - ~"l ~"""""'~~""""T""!~"'~-- ,.."'-~~"'~ '~I-~rr'l- -- -~~-~~ - - - - - - ~ ~ '1'"..... l': t'- ~!l"':- .,.- -~ l~'-"""'''''''''''''''H''''''''''''' 4___''''''' "~--''t ~"""ff"""",~~",,,",':!!=rt <br />I~, ~'R~~~t 'f);:Ji~~ltt'I'\.,,~I':j','J I 31 .'lr~[ I\~ ,\,i" ~:'Jili :h,ff' "I : \1 ',: ; ! " i: 'tt'J'Jr'" l/,~.,t 11 1,1 j , " ~m;l I ~~I '.f~YI>~\ \.<r.~~~~1j1~,fft:: <br />iwlim]j,p;ltiI4'~rrle,e.ti'1(",lfl.'111~:~~;"t1;tt'''L>1"-tY);11mJj'I?'..jl ',I,",'" ,r 't ,t1)""_l'l,,e" '~II" 't' l ~ t't.\~ .,I,)t'17',!~fI;nIl,~lf.j!h.f <br />~-":"~_~=~.,.:..O,l._""~.l~-=_~_:__..........~--------~--~-----------",~~~ ~ ^ l'l i\ <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 /> <br /> <br />****************************************************************** <br /> <br />COMPAN~\Am~,\e.-~:r:( {\~ <br />STATE CERT OR REGIST jj: <br /> <br />SIGNATURE <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 />