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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />I <br />BUILDING DEPARTMENT 5335 8~H St, Zephyrhills, FL 33542 <br />I 813-780-0020 FAX: 813-780-0021 <br />, DATE RECEIVED <br />, <br />I <br /> <br />PHONE CONTACT FOR PERHITTINGIr:J 7- q /Cf.q t'~~ <br /> <br />OWNER'S NAME ie,urJ:;J !10r11t,') <br />JOB ADDRESS .,<))(:, 1111 ~Jf'j (Jr <br />LEGAL DESCRIPTION: LOT(S) //~ BLOCK <br />PARCEL ID #3s-~5',z..I- OllO ' OCCCC;- ttc;-O <br /> <br />PHONE <br /> <br />SUBDIVISION r..fl::~II/' Cw k III' <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICEl <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br />Os I GN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />L~t-..J Sf.> fltVLI1-1Z <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />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 /> PERMITS REQUESTED <br />0 BUILDING $ tODD, VALUATION OF TOTAL CONSTRUCTION <br />0 ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br />~. 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 AREAD YES 0 NO <br /> <br />.rr.t~-M"7r' 't~f!!t!!""""'7'''';r.:-'l'..t:T''~''''- v-r-,}...7..,;.........,~'---:~'~~w-- "'t"""".-.... .";l-..~,..wl~~-- ~~--~~~ - - ~ ~ ~ ,.k-_l' 1.';'-"""'; - -'w' -... ~ -...-t-WW-"7 ~'!T;' -';1:';ff'~iT0sS:1fD11~m;;~'lP:"':fJ <br />ijtIQ~i>Ji~l~f;:,~~I", '>1;j 11, ,r :~:.' Iftl I,',;' '11 ;~j i, i 1 ,! H"J("if;, " ,IJ,nl, : 'I ~Irl J; ,i,]"'1 .,t,,~'1ijfHJ*ilf;r <br /><l.~~~~~~~~~,:,I~:~v;.,~_J.o~"'~:~";w"~~_~___ ____ ~~~-L-~ <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 />N) ~~ COMPANY 4 '(f/ ~/ZA. c.-A-IV ;z;; (t'1' <br />\ '\ ~, STATE CERT OR REGIST # J 0/ <br />****************************************************************** <br /> <br />SIGNATURE <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 />