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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUI;LDING DEPARTMENT 5335 8TH St, Zephyrhills, ~L 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DA.TE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />,-; t e.r~tY\ S;. ~(O(.J^ <br />JOB ADDRESS 38'g4/ J Y\J... AV( I z~~,h'l Us I !L <br />. PB I P& 51.t <br />LEGAL DESCRI PTION: LOT (S) L.,.h q - \ \ r.r.:.\. BLOCK I q 7 <br />PARCEL 10 # II-~(,-;;)..\ -00\0 -1l1,OO-CJIOC> <br /> <br />OWNER'S NAME <br /> <br />PHONE <br /> <br />eft's) "77;>- & sLj/ <br />CeJl- p''-I2--7/rl <br /> <br />53S4J.. <br />SUBDIVISION Li1y J Ze/flyi;/J <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br />DSIGN <br /> <br />PROPOSED USE:~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />{OBTAIN FROM PROPERTY.TAX NOTICE) <br />o ALTERATION ~ REPAIR 0 INSTALL <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 HOM <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APpROVAL <br /> <br />DESCRIPTION OF WORK Re.~\V\.c.-l rot\- ~J. woo9.. ~I (e -tra......,"5 4 oJ&\.(f- otoor <br />6o.ro..J< ~ <br />BUILDING SI ZE ;J 4fP.(C~. ' ;)0 I Y (2 I SQUARE FOOTAGE ~pfa)l. - 2I.JlJ>;/t.L <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 />7 1/ 1/ <br />HEIGHT v <br /> <br />PERMITS REQUESTED <br /> <br />)t BUILDING <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />'SOG. de) <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />9(FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES p{ NO <br /> <br /> <br />BUILDER ~ 52,S"" COMPANY <br /> <br />SIGNA;URE~ ft. ~ STATE CERT OR REGIST , <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <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 />