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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUI1;LDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 li/- /... <br />J DATE RECEIVED~ <br /> <br />I PHONE CONTACT FOR PERMITTING <br /> <br />OWNERr S NAME ,.]~ A III N ttl/I/h 1-1- PHONE F /3-779- Db r/ <br />. JOB ADDRESS ,1$ J. c3 /.-- E If j ~II ~-c, ;z:. t ~'1l!.tJ" L 1.-5, r L <br />. LEGAL DESCRIPTION, LOT (S I . / u, &>... 0 BLOCK' 'l>booD SUBDIVI~ION At, th ~ llft.~ <br />, PARCEL ID # ~.5..o<,s'. d.L/ L['(OS'~ .fX)oOD -I fo~ 0 (OBTAIN FROM PROPERTY TAX NOTICEl <br />WORK PROPSED: DNEW CONSTRUCTION 0 ADDITION o ALTERATION 0 REPAIR la INSTALL <br /> <br />Os I GN <br />PROPOSED USE: [;]SGL 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 HOMI <br />liiI OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK 5 (. tr l! ;:'/lI <br />BUILDING SIZE J i X "if I <br /> <br />~O()N\ <br /> <br />Ow <br /> <br />&~)ST1/Vt... <br /> <br />..'iUJ/3 <br /> <br />SQUARE FOOTAGE <br /> <br />//D .11 <br />I <br /> <br />HEIGHT <br /> <br />?Ii' <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 PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED #OR ~L NEW CONSTRUCTION. <br /> <br />__ r?t<<J ~ ZZ'~~ vi ~ <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />3.li6\J <br />I <br />I:{ ~~ <br />~/~ <br />;V~ <br />IV ;I fi <br />/ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~. ~c..5 <br />~~(e.~ ~ <br />tJ 0(. ~ <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />Progress Energy <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o PLUBBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 />}a OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />~'TI"""'I~""'j~ ~ -...~ -"'... ~-.... r""-' - -__t~_ ...--,..,.-,-'17.,..".M....-c - M_,.., -.,., MM'" - - MM_ \- - ~-~~~-- - - - - -- - III ,~ - - - ~. ~l~' -....1 --.. __M_ ~"1 I :1 - -~ 'T; - "',~ ~~f~C;"~:T:~; <br />I' 1""1 rT I J,I I '. I' II t ~ I, I t If - ~,:r~',~F~.;,~~ <br />1~~~~~~.~~~.L_~~...~.~~_l..'~~I~~~___"-'J._.__........:.-~-~---- _________ ____ __~~__~~ I 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 />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />J <br />D OTHER <br /> <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />/ <br />I <br />