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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATiUN <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FI. 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DA~~E RECE IVED <br /> <br />'3 JtlDG <br />t <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br /> <br />P /ei'l'e &-;' reV' d <br />j/uJ~ tifJ t t.~ f.e <br /> <br />LEGAL DESCRI PTION: LOT (S) {p I <br />Or} ~ -J/- 00 I(D) - o()(Xt)- a(cl/ <br /> <br />OWNER'S NAME <br /> <br />PHONI~ <br /> <br />-866-824-7f:ijti <br />Toll FreE <br /> <br />JOB ADDRESS <br /> <br />3 t'T)(, <br /> <br />SUBDIVISION !///lti9l <br />. <br /> <br />t:/r)// .e <br /> <br />BLOCK <br /> <br />PARCEL 10 # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~EW CONSTRUCTION <br />OSIGN <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />[J REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNI'I'S <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />f4..~IJ{)rl ~/) ~X;:S+j/l9_ \f'~6 <br /> <br />, SQUARE FOOTAGE v(,,JY' If. f(J..l'fJOl' l J <br /> <br />HEI~HT <br /> <br />DESCRIPTION OF WORK <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILOING PLANS & (1) SE~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 /> Cp2 'f 0 PERMITS REQUESTED <br />fj BUILDING /, S-OO. \Y <br />$ VALUATION OF TOTAL CONSTRUCTION <br />0 ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br />0 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 />o 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 />BUILDER <br /> <br />COMPANY ()Q.1J..l /' - tlt~l're <br /> <br />SIGNATURE <br /> <br />{/uH:l4- A.Jf ^ f- <br /> <br />STATE CERT OR REGIST # <br /> <br />******************************************************k*********** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />******************************************************,'*******k*** <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 />