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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />\ <br />BUI:LDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />I 813-780-0020 FAX: 813-780-0021 <br />, ' DATE RECEIVED <br />! <br /> <br />/ <br />b-/ &.>( Of= <br />. <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />kl'oJ~\ t\O'Mt-S <br />. 7SC4 Merc.l.CtJ-u:\1c C-, (elf <br />?- <br />~ S --,).5'" r ),1- O(J..o ~ c1- 60;)..0 <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION c're;. +vI Ci.J Ii, ~S <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICEl <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br />DSIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />..B--INST ALL <br /> <br />D MOVE <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 /><; P (lfJ~~e-( S <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 />$ \DOO.OO <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy D <br /> <br />W.R.E.C. <br /> <br />~LUMBING <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 />1~71ih-""~"'-'~-'''-ry~~.,...,=-"_._-"._-,,-, """1- -~--~--- -- " ",,- ~ ""--"-""""'"'~I-""-"~"iIT':-""""="""""~"';'m~ <br />W;t~~Hr ~',o/;Jr' 'j!';tl '" t ,tA~di: ';,ft :I,~ J;;I1I,' .', ,1',11, ,I" j t ;, l!l ~/)-;"~kd,I,~' l~ !if,~" tl'l ~~IJqil,w'h:f,?,~\',)t~';:'~~}NJvr1Jj~~)~' <br />tfiUIJJi&!tl,>t!f,,;r~d,~~t i'ljl-'~I'~lrdt!"~"1~1 r,l"! 1t~" ' "tt_ ,1'".1 '" :' ""'"t. 1)'J'11~{;!ptd\i!t:..r <br />~~~~_-J."":':'=!,,~_':'~,",~_"".;j._~_..u.i..____________________~~~~~...L--~ J~' 1" ,'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 />t4 -- <br />COMPANY . m<."rvtil..J.-1--;{ I'll <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 />