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<br />CIrY OF ZEPHYRHILLS PERMIT APPLICJ.~ION <br />BUI:LDING DEPARTMENT 5335 STH St, Zephyrhills, FL 33542 <br />I 813-780-0020 FAX:S13-780-0021 <br />DA'I~E RECEIVED <br />j <br />I PHONE CONTACT FOR PEBMITTING <br /> <br />OWNER'S NAME ~ 1\/ K.l.;)'j"'+ PHONE (81'))78l?-18Lf/p <br />JOB ADDRESS . to) '61 tj ) ~ -th S t 7L -e p hlj \'" Wh,-Y L ~:,S '{ 01 <br />LEGAL DESCRIPTION: LOT (S) -I <6 C\-' \ q BLOCK ~ SUBDIVISION--b.( 0... <br />PARCEL ID * /1- ~ Ip - d l- nO I 0-01 '--l nO-()(>(D (OBTAIN FROM PROPERTY. TAX NOTICE) <br /> <br />WORK PROPSED: D NEW CONSTRUCTION DADDITION DALTERATION o REPAIR 181 INSTALL <br /> Os I GN F~V1 c...e.- <br /> o MOVE 0 DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING OMULTI-FAMILY 0* OF UNITS D MOBILE HOMI <br /> D COMMERCIAL D INDUSTRIAL D SWIMMING POOL DOTHER <br /> <br />BUILDING SIZE <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />TV\sta.\lfC'na;nl,'r)l( ~PI'\Cf' ~D ~nc.los~ yo...rd <br />SQUARE FOOTAGE 15 L{ I of .fe.nc:..~HEIGHT Y J <br /> <br />DESCRIPTION OF WORK <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 />o BUILDING <br /> <br />PERMITS REQUESTED <br />$ ~ (;(). 00 VAL~ATION OF TOTAL CONSTRUCTION Cc.. ~ ~~Cl<..J <br />AMP SERVICE D Progress Energy D W.R.E.C. <br /> <br />o ELECTRICAL <br />o PLUMBING <br />D MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL JJ OTHER LJ 'ChCl~nl,nK ~rJC.~ <br />IS PROJECT IN FLOOD ZONE AREAO YES )<! NO <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />'r~~~-T:'-"'" ,_ ~......., --< _ _____ -_<-'_.........--~ -"~ ~~" ~ ~- ,- - --~-~-,.----.---..----~ --~ 'I" - ~-" - ~ ~ ~- - -r-"-' -. --~.~'r'1' I!ff'l <br />!\!t! ''It:,,1 It I ,1" l I' I ! l ~ I' ' ' ~ '1 tll 1~~:~IJ"<:$}'j1 <br />fj.,~~~_..2~~~~_L~___~'-__L~~~_..._~ _~_~-..:___.:_______________~_ ~_ ~____ ___~_ ~~_~___~_~~-'-~~_~ .1 ~ 11 <br /> <br />BUILDER <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 />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 />