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<br />CI1TY OF ZEPHYRHILLS PERMIT APPLIC1\.TION <br />BUIiLDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DAT'E RECE IVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME GeM G L) I t')C)i /l <br />JOB ADDRESS . S I ~ S- ~iA-vh.M..<f t-h l{ :0\ <br /> <br />PHONE, Jt~ SS-S- ~ )2tl'~ <br /> <br />SUBDIVISION <"')A.,~-'-~' b-h'L1 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />JJ2) <br /> <br />BLOCK <br /> <br />PARCEL 10 # <br />WORK PROPSED: ONEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE: ~L FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICE) <br />o ALTERATION [a~R';PAIR 0 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 HOMI <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />,L ~./ <br />" <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <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 />$ :5&00. on <br /> <br />VALl!JATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL $ <br />o GAS ~OOFING 0 SPECIALTY <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANCIAL INSTAL]~ATION <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 />I S PROJECT IN FLOOD ZONE AREA 0 YES <br /> <br />o NO <br /> <br />Ifm0il:i~;~~~r~m@[~i~)~~;JI~1;~::;'::'~)i,i~;I~a1~;~~~J:J!~.ijl~~:: 11~-~~I"r'j;~:i1 {:,} .i.r-: ~~ ) ~~~-.~ 1'; I: : 1---;-1---- ~:. I-I -~-;;: I,..~~;]igf(;, I ~?i~i,J1.~:i~~~~::~;:~j :?~~i~IU\l:ii't,:~iltml!l~r,i ~'l'~~ij~jiji~', 'j ''f <br />1I~~~:1;Z~~l\'""l"",I:W;!t'LI'~li"'J"":~'''W'1'11IrJ"~'-,;mii"jIA~,-'~'i'1"I,,,~llf.1if,iJI'Ili,, <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 />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OT~R ~ <br />SIGNATURE._ . fr <br /> <br />COMPANY ~11 t/iI\o1.() ho~ 'i J <br />STATE CERT OR REGIST # dI'~ 15J ~r ( 0 _C- <br />