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<br />.
<br />
<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION
<br />BUI:LDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542
<br />I 813-780-0020 FAX: 813-780-0021
<br />, DATE RECE lVED
<br />
<br />I
<br />
<br />PHONE CONTACT FOR PERMITTING
<br />
<br />OWNER'S NAME
<br />
<br />Letu Nc:z(
<br />
<br />\\CJ 1'Vt-(.,~
<br />9(0~Cl.('I~V~\\t C l rc\ C
<br />
<br />PHONE
<br />
<br />JOB ADDRESS 1Sl{ C(
<br />
<br />SUBDIVISION CfC,stv It-<-v K: l ~
<br />
<br />LEGAL DESCRIPTION: LOT(S) C\
<br />PARCEL ID # ~:S~ ') -J-I- ~
<br />
<br />BLOCK
<br />
<br />1~0 -~ ~
<br />
<br />GolfO
<br />
<br />(OBTAIN FROM PROPERTY TAX NOTICEl
<br />
<br />WORK PROPSED: 0 NEW CONSTRUCTION
<br />DSIGN
<br />PROPOSED USE: DSGL FAMILY DWELLING
<br />
<br />o COMMERCIAL
<br />
<br />o ADDITION
<br />
<br />o ALTERATION
<br />
<br />o REPAIR
<br />
<br />~NSTALL
<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 S,? 1\ t N \4e\ 1\
<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 />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 />~PLUMBING
<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 AREAD YES D NO
<br />
<br />I... "~mnr;l~~'~' r.:T"~ .,.,,_~.......,....,.t'7l_""""""""""'''"'''' ..-..~-- ~~-- i'C"'~~~ '" ,....,.., "r"'~!~~~ ~---->-~....------~~ - ~ - ~ r-..... !-, 1'<"~ '+ ~- - -f;1"Ir' -..-",~, -'-1 -"'-" ....,.,,...,., "..,....,.~-'lt'\ ':;n:r"....,,-~"""''1!l'mf
<br />~.:111 ;Tl'J,~j"'\~l~~~jfll~~':~~'" ~ti l~'"t' ~'LI' l:;;,J 'I') 11/ ", I , I 't ~;' i\,' "I ,jill' r, '1 ~f~l I:!~ I .~t:l;L1::!;}S:mrlJ~i~~;~l,t'it,
<br />;f~JjlEl-X "~ ['IJ j ~r J 1 ~,," t j '! \ )"~, r t' ,,1 I -' jt1 l, ",' " ';, . 'r.-, , '. j , .j ;!,,;".,i,.~;,'::;;~,1:.t"i/"iJ~fr1i!f,!~~'1\;tI7"(
<br />~~;;:""'..........~.......~...~.;.;.;.l._......o.,~-,,.~~___~,--;_..u.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~VV\ t,,(\ ~,J::;:{ {l5
<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 />
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