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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUIiLDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 ~ <br />I 813-780-0020 FAX: 813-780-0021 "'/ I <br />DATE RECEIVED 0'-, to/Dlp <br />"1>om~ <br />PHONE CONTACT FOR PERMITTING 7 a.-I '11 9 - <br />ql55 <br /> <br />OWNER'S NAME kNi"tA\ \\'OAt&S <br />JOB ADDRESS'T~ i\tefJ\a~'.\\t C\ (c"lr: <br />LEGAL DESCRIPTION: LOT(S) \ BLOCK <br />PARCEL ID # 'SsrJS', ~l -Oid.-o ~ ~ --cole..> <br /> <br />PHONE <br /> <br />SUBDIVI SION Q"t:&1v1 ~ 4/ t-t \ ls <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICEl <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br />D SIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR ,....g- INSTALL <br /> <br />DMOVE <br /> <br />D 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 />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />~ ~ \\1\\ l\e\ ~ <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 />$ ItJOO .00 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D Progress Energy D <br /> <br />W.R.E.C. <br /> <br />~PLUMBING <br /> <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 />D STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br />~~-~:r:!;]::I~"-'-'''''''~---~--'--~'~''''''''~''''---'-'-'-- '""'-'"!' , -~.~-- -, - '" .,..~" '-'7'-""'~''''''''-'';---'T'-~-''Crm-;---':;-'''~r!l''''1L <br />rI7;''''JJl:f(.;~/V;I'(~:1::;\ ~ '" 1~; ,1;",;1' ~tl 1')14' , ii, :,,' I' ; ;1 ell:, I:~';_'>' l~lJl 1,,('\ if1\!<,"1 \~';~~T!~~~t\,,i'i'1~~J~t <br />lJtb,~~J~.2:~~~~~~~~~_L:""'~.J....1-~_________~ _____ _____~~~~ l I ~ .11, ,lq' t1l~!~tiJ\~ ~." <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 f\(\ ~ COMPAN~v1-WJe-{ I {tluO ::;::frl'1 <br />SIGNATURE ~ ~ STATE CERT OR REGIST # <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 />