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<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 IVED <br /> <br />./ <br />a-lro /oc-, <br />. <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />k~r 1~ rnbS <br />JOB ADDRESS 1SJ-t rV1ervh~vAv; llt- C,l(olt <br />~ <br />PARCEL 10 # 35'-)'),..- )1/ o[).o r- qfr- OO~O <br /> <br />PHONE <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION (j({,-s+ II/lv' It 'Its- <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICEl <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br />DSIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR -GINSTALL <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 />.> ~ (I f\J/Jer 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 />$ i tSC5D . C50 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL <br />J3'PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />D Progress Energy 0 <br /> <br />W.R.E.C. <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 0 NO <br /> <br />1~;t1'1'i"""""~'~'~ ..- -.-,.-~-~~~~~~-"- ~.-""~'". """"! -- - -~-.~-- -' ,~, . .,.,.. - '[-'-~"'-'~' '--.""T --mc'''"'i"'SiijF'''''''''''-'!;]}!]I'I!!''' <br />1,~!f\~H;:,,~'~'f,1;;Hl(f ~t~~(I, ~ c!~~ /v ,,;"i~l ~r/floj ',/ ~t,,{ ; I I,. ' I i,l!ll'./jt< I;;~':'/' ;itl . 1 ~r'l"t'~I""!O'"t~r;L~,~~~fi~~~i€t <br />'t11itf!fi,t1\. ,fi1Jj~t:W!l -t~,,', !t,t ."t;J~, -) lIt'" ' , 1~ \ f r,~, 1 . ~ " r I h~" I, ~,J 1_~?~tftj;;~1" <br />~...,~=,-;"+~,,,",-,~~_......._~..._~.:...J,..............--..~~._..:w;..._~-~------~-"'~~-~ ~ <br /> <br />BUIWER <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 />COMPAN:.J4.'M~r-\~^\--=r<-( la <br />) <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 />