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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br /> <br />BUI'LDING DEPARTMENT 5335 8~H st, Zephyrhills, FL 33542 <br />I 813-780-0,..,020 FAX: 813-780-0021 <br />DAT}i~ RECE IVED <br /> <br />I <br />I <br /> <br />PHONE CONTACT FOR <br /> <br />.~ -/.,-()~ <br />PERMITTING adJJ /(/1/- ~g >t ~ <br /> <br />JOB ADDRESS 3H 4-33 <br /> <br />F?LlfD~(J CJ. 8a rrl.S <br /> <br />9fh . AV'e Z e ph", r h:( Is I <br />, <br />I :J- BLOCK f? 7 <br /> <br />() 't'7 on 11/ / t') <br /> <br />PHONE. ~(~~?__?_~_=~~~~ <br />~ t.... 335Lf 2- <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) It ~ <br />PARCEL ID ft I J ~ t. 1 / ,,(t I D <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICE) <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br />Os I GN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />~ALTERATION <br /> <br />o REPAIR <br /> <br />D INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />Oft OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOMI <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL <br />DESCRIPTION OF WORK 111 a.I'<41 (; en /l j2(? ,/, tHfn :fU'/? sYJ /p/df A1 At <(; ~1l <br />BUILDING SIZE SQUARE FOOTAGE 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 /> E.-\e~c.a.D <br /> PERMITS REQUESTED <br />'i BUILDING :2.300. C?.!! <br />$ VAL~ATION OF TOTAL CONSTRUCTION <br />o ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br />D PLUMBING <br />o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />o GAS o ROOFING o SPECIALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />rs. FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />'0 <br />(011) BUILDER COMPANY <br />SIGNA~URE + ~ JJ~ STATE CERT OR REGIST I <br />****************************************************************** <br /> <br /> <br />COMPANY <br /> <br />" <br /> <br />l <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST ft <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST ft <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 />