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<br />CIrry OF ZEPHYRHILLS PERMIT APPLIC1\.TION <br />BUI;LDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DA'I'E RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER / S NAME lJV\a~rl,,1 ~, 14,,,j- <br />JOB ADDRESS '~'2' ~ 1I .., t" ~ e. <br />LEGAL DESCRIPTION: LOT (S) \\ 't \~ <br /> <br />PHONE: <br /> <br />3.n 780 I S'<og <br /> <br />BLOCK \\ ~ <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br />DSIGN <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 />~TERATION [] REPAIR 0 INSTALL <br />o DEMOLISH <br /> <br />PARCEL ID # \\. - ;).Co<j.A- <Df\\ 0 - W;~ ()() - 0\\ 0 <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOMl <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~~~ <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 />'8 'C~ S-. ~CJ <br />$ ,-- <br /> <br />VALWATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br />o GAS ~OFING <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ <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 />I T'-"m~T"" "1-"1"" -, '--'"-'~----~--''::j[~'1Jrf''~-"'-''''''''' ---'' -,,~-~------ - --- "----,',-" ,-'~" ,"-C"W'l' l~ '[-,t-"I ",,- "-["''''i8::j)q--'",,'',",~'' <br />_I ":b 1l~' Itl ~ I)' II 111'1 J I I j i1 ~ Il1J Il;g;jJ1J~?~njur~0Hfrrl;!~i[;!r!!;j):'IJ!:r/:: ~!;i:h?)ilj!rJ;l~l~'::-i~.'~;,'~-,~i,hh~~~ \/'\1~; h.~L.:) f_"~_-:_:::~."f!- ~)~ (: ~ if) < i -) 1\ ill \1 J"L1~)!~fJ.f)R~:~;j~~I~(I,lrl~~~~~I;l:j~J~U'1W~\H(~~(ft~~~~J~f~f!~~~~ij8fl[~tlI ~ 'I <br />*~~ ~ . '" 11~:l!!i\'")J.'d{ il:4V,hYf".L]nT\kJ/l~Jt\~l'lr>t' 1!~m:ififjh'::lr'llfI1~JJI:1 ~ 'I;J~1f:'~ii' IJ ^< <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 />OTHER <br /> <br /> <br />COMPANY ~\tli'A.ON\. ~(I. "'1 <br />, J ..J <br />STATE CERT OR REGIST # (1ffi I ~ :{SJ'l::l "C <br />