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<br />.. <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 ~ <br />813-780-0020 FAX: 813-780-0021 ? 7 ~" <br />DATE RECE lVED '"1 ?"d-o <br /> <br />PHONE CONTACT FOR PERMI"TC~~~~~""')1/rJ7 :In 9760 <br />8"7 J 6YP :t9f" J <br /> <br />~ <br /> <br />PHONE <br /> <br />JOB ADDRESS . f ~ I 3 <br /> <br />~u/ 6eurye- <br />/~.,s~ <br /> <br />. <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />fV/,'r; <br />PARCEL ID # /1./- .2(-.)../ 0(//0" ooJC/CJ 00 ~ <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />.... <br />IB"REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br />PROPOSED USE: ~FAMILY DWELLING <br />o COMMERCIAL <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 HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />(5") <br />~~b'P- IJrAAd--r.J ~;)~ ~b~< ~/WT <br /> <br />""...., /,:1 / <br />SQUARE FOOTAGE 7CQ ~ HEIGHT ~ <br /> <br />DESCRIPTION OF WORK <br /> <br />lY"PLUMBING <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 />'Zrl2-CC V"'w~ '3 C/Y) .0 p~ <br />ere'- ~d~/d~ <br />PERMITS REQUESTED ~\.Aed <:in ,_ v' '~I~ <br />---.....J __. ______ ~ ~ t"5lU~ k2/A.-' <br />$ ~ VALUATION OF TOTAL CONSTRUCTION Nee.. /012.- <br />, <br /> <br />~rogress Energy [] W.R.E.C. o1ti?\~ <br />~fi.t'.6'i (S\LL'~ ~ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />~;L )/LM })~-I~ <br />c.:; S~ I'> <br />i2t1.,Ji l\bJ/ ~ Sl~i rJ (,. <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO '..1 <br />t}-t..L D&k.. T wirOJ\lV\l <br />t 2-p..5 <br /> <br />/S'tJ <br /> <br />AMP SERVICE <br /> <br />~LDING <br />~LECTRICAL <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o 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 /> <br />BUlWER ~ <br />SIGNA;URE - . <br /> <br />COMPANY <br /> <br />~ <br /> <br />~ <br /> <br />i g-;: \C], <br />. <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** . ' <br /> <br />- LL _ '7 Z . I ~ <br />ELECTRICIAN ~ _~ COM,PANY ~ ~/' <br /> <br />SIGNATURE ~7 STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />~~ <br /> <br />COMPANY <br /> <br />~~~ <br /> <br />sr=t ," '::> <br /> <br />SIGNATURE <br /> <br />STAT6 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 />