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<br />, <br />, <br /> <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 RECEIVED <br /> <br />I PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME Rt} Y ~(r5+qRQ elt ~, <br />JOB ADDRESS 350'1 -{Ov ~ (f'l Ft 1.., tV ( ~f( <br /> <br />PHONE ~.. 37Y-5c,S7 <br /> <br />SUBDIVISION [I-fEtl~P/ (6;Nk <br /> <br />LEGAL DESCRIPTION: LOT(S) :l'7~ <br /> <br />BLOCK <br /> <br />PARCEL ID # <br />WORK PROPSED: ~EW CONSTRUCTION <br />DSIGN <br /> <br />PROPOSED USE: []SGL FAMILY DWELLING <br />[] COMMERCIAL <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICE\ <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />[] REPAIR <br /> <br />[] INSTALL <br /> <br />D MOVE <br /> <br />D DEMOLISH <br /> <br />[]MULTI - FAMILY <br />o INDUSTRIAL <br /> <br />[]* OF UNITS <br />[] SWIMMING POOL <br /> <br />[] MOBILE HOMI <br />[] OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL <br />CO'" cRp- Ie. .p~O / {(ou.et A\(m8. <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />NCC-/ <br />---- <br /> <br />S\ qn - C,/'(\ +- <br /> <br />PERMITS REQUESTED <br /> <br />~LDING <br /> <br />$ 5)00(). <br /> <br />VAL~ATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />~UMBING <br />[] MECHANICAL <br /> <br />AMP SERVICE <br /> <br />[] Progress Energy [] <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 />[] FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES [] NO <br /> <br /> <br />SIGNATURE <br /> <br />r~50~ L(?~G;' d'c- <br />STATE CERT OR REGIST # 0$14 ~ J- ,p~ fA) <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />- <br />STATE CERT OR REGIST * <br /> <br />PLUMBER <br /> <br />****************************************************************** <br />~ . 0'::;) .- ~ <br />L~~ey "'~(C.€f; (J) . ,COMPANY t'r)l~' ?~ <br />'--(J~ ~' STATE CERT OR REGIST , , <br /> <br /> <br />********************* ******************************************** <br /> <br />~ <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br />