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<br />/' <br />/" <br />~ <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />~-- /p -/}4- <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />fro ~aJ~ ch'\ <br />~f33 G(~\\ tS(uri_ <br /> <br />-Z-e.ph4 rh\ \ \ ~ I <br />, <br /> <br />PHONE <br /> <br />'fj /J :J'7t 7' tJ 7// <br />ft.. 33S4 cl <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # 0'3 -.::;lG:, .. ~ \ - 00\0 -. 03~oo_ DO';).D (OR'l'ATN FROM PROPF'R'l'Y 'l'AX NO'l'Tr.F' \ <br /> <br />WORK PROPSED: DNEW CONSTRUCTION o ADDITION o ALTERATION o REPAIR o INSTALL <br /> DSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERC IAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />K'U C~ll'U'Y\ -rQ~ ,/oltu. iJlf::x:o,p:) <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <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 />& (1) SET ENERGy FORMS, <br />FORMS (), ,AP <br />- I -,}i {)LJ~ <br />11~' CI <br />PERMITS REQUESTED / ~ iJ 11/ r.' <br />VALUATION OF TOTAL CONS~___.-._..---'" <br />AMP SERVICE 0 Progress Energy 0 W.R.E.C, .. <br />s7/0( DiP - PI (Yvl.D G>) St u<-'v- <br />-h:> r-l rn <br /> <br /> <br />$ <br /> <br />o ELECTRICAL <br /> <br />o PLUMBING <br />\j'MECHANICAL <br />o GAS 0 ROOFING <br /> <br />$ (P'6oo, <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />ELECTRICI <br /> <br /> <br />****************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY A\ \ Ph.usc. fde Ch-l C- ol l'v\tlll\ ~. ~_ . <br /> <br />STATE CERT OR REGIST # EcCOO)'lSO /(l L <br />. \ /"""T'{"\,A Ou.ler, if <br />****~~*~r*r******~********************************************** <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 />