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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />I 813-780-0020 FAX: 813-780-0021 <br />,.: DATE RECE IVED <br />, <br /> <br />/ <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME LeNr\)o...( MoV\At.-~ <br />JOB ADDRESS 1 ~J.3 Mer~C-lN~~~\~'C C \rc-\6 <br />LEGAL DESCRIPTION: LOT (S) t.-t BLOCK <br />PARCEL 10 # ~S"'- J- S- .--- d-l- Old.-O -- f - OC 'i G <br /> <br />PHONE <br /> <br />SUBDIVISION C-(~s.l(;( (Aj J.-{;l() <br />(OBTAIN FROM PROPERTY.TAX NO~ICEl <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br />D SIGN <br />PROPOSED USE: []SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />D REPAIR <br /> <br />c-B-INSTALL <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 />~ t-fl~\c-\ (., (5) <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 />D ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />JJ--1?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 />-- - - _,_, "0-"'-.' _"w~,__,,_~ "~.__=~""''''~, <br />1''''l~.;ttll''''''''''i''''<=<'r~'''~'><-l_'-'''''1''-'7l_'''''''~''''''''~''''~-~--~_'__'''''' "'i "~-r.l~-~~~---------"~-~~-~ " .., h' j- j ~>~. f:::",~:,;<"'ji""I;'i<f.t;':;mll\!f'J"jj1:C,';>;; <br />;;$I1'r~:cl: 1"~ltl'fI'('!:"u i,l, ~'lr.' j~J; J" 1 'I ( , "It ,).1-." ieor;,;:: 'I .,'f'l ,'1 !#llr1/1 '<.1' rl"tt"rrl~)J":~J'fjf(' <br />~Mr1j!tlyl~:~:r,~;Ji!:tl';T,' ,'t 1trt\J,<-'l, 'l',~~Ir.J/ I ,li,1 "~I,,'! I , __ ~_~~~':'~'___~..,) j. ll'e l {1S'h;Yt~' ,.f <br />.ww:;;;:J...~~,,~~v...__~~.........~.;.;.a...........,~.-..o..i..l._."""""'...:L:n.-__~__ _ <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 ~ ~ COMPAN~_jl-VII~n <,-", ",:r<-l ~ . <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 />