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<br />CIrY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUIiLDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />I 813-780-0020 FAX: 813-780-0021 <br />DATE RECEIVED <br /> <br />I PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME Lh~ ~M''f. <br />JOB ADDRESS --ill 0 r IJ.. 'e.. <br />LEGAL DESCRI PTION: LOT (S) if 2, .5;1 '1 BLOCK <br />PARCEL ID * II ~~b-Ll-ODID -OS'"9()()-OOI\ <br /> <br />PHONE ~l3 '7rg;. I~) 0; <br /> <br />31 SUBDIVISION <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE:~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICE\ <br />o ALTERATION 0 REPAIR ISV'iNSTALL <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 />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT <br /> <br />X~~i <br /> <br />& HEALTH DEPARTMENT AP~ROVAL <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 />$ Si3G ~ 610 <br /> <br />VALf!lATION 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 INSTALLATION <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 />_",...-m]iITI""'''"~"'''' ,', " -'~~----TD-~T~-~'-'=--~r"'"'' ---. ---~~~--- u_ -- - .-- . -- n" ,"--."--[~-,,, '0 - "',1-11 '-"T -mi""~1"lii[l 1 "" <br />:'''l,lll~'~\Jl il,'~;: [rll'i:, :1~!i1iU,,!!!;:mL~i.MI,J',;!ill ~ 'ii),:t,~:!ilf;:[:;:\:';L;, 'I ;,),k \ i; i,; l > '< [1;11: 'j' 'I' l' ,!" i",I,~I: \~~:L;I~:1t,I:)~Ji~~m::(1~1:4~!i~~r' ,'t~:{IYI,:,~.rllJ,~lm~;:(t~I~~;I;'PI'li!:l'I'i!' 'J,' \ :iJi! <br />]:ilI:!llilli1:!!R!!l!!~lillQLi'ill~~~ " ,1'i\\I\'J"_I,"'i[i"I"J""I'l"\"U{~,,!]li ,!:ffl'tlA:I:"I'il\II",~'if",I,_,', ,m~ <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGrST * <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 />SIGNATURE ~ ~ <br /> <br />COMPANY Rym4/1 iP7i'!J <br />STATE CERT' OR REGIST.... (~t!i.7, <br /> <br />13~ rJO('- <br />- <br />