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<br />CIrY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUIiLDING DEPARTMENT 5335 8~H st, Zephyrhills, FL 33542 <br />813-780-0020 FAX:B13-780-0021 <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME (Yl ic.k.taO ?~f+er <br />JOB ADDRESS 3BYoLj L\ {(; C d1,~"'.j. JhJ e ~ <br />LEGAL DESCRIPTION: LOT(S) 4'1 BLOCK <br />PARCEL I D # 3S - ~r - :1\ - Q':>,,<:: 0 ~ oooZTo- 0 (D ( 0 <br /> <br />PHONE f1t~ 78'~ sr~tO 9 <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br />OSIGN <br /> <br />PROPOSED USE: ~L FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br />o MOVE <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICE) <br />o ALTERATION ~PAIR 0 INSTALL <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOM! <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APrROVAL <br /> <br />c..~ <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 /> <br />o BUILDING <br /> <br />$ ~q :t<pt) 0 <br /> <br />VALfYATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL $ <br />o GAS ~OFING 0 SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 AREAO YES 0 NO <br /> <br />m~llliI!i~_dI'I7"~~~~'''''~r.r" ',n~~~~--~~-j'\"1-"""'l1:18"JI'\':.R::::rJfJ~m:mj~[1:7E~~:i7ji"''1Ii''fiililir~1iN]~~f <br />Jm~~Wi~:~~iIW~:~~~;{~~~~iiY;r~f~'~KM);':ii:~L~~! ~:2 ,1'; ~ ~ ']!I, ) ", ~~'~ C :~'~~ \_,. ~J~ l:>:~&r~&~~~:~::[~'il!IC,~1!~[1!~~1~1~~~~~~y~~~ <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 />, <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 />oT~R ~ <br />SIG"ATURE~ -' -I5~ <br /> <br />***************************************************************** <br /> <br /> <br />COMPANY ~ t>l<<"> ~'5 <br />STATE CERT OR REGIST aY" / VS.-fO S- <br />