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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 aXH St, Zephyrhills, FL 33542 <br />813-780-0020 ll'AX: 813-780-0021 0117/b~ <br />DATE RECEIVED ~ __ <br /> <br />PHONE GONTACT FOR PERMITTING <br /> <br />OWNER'S NAME g u...ft ~h:- U ~ C! hr i ~ <br />G (? ,s'T <br />LEGAL DESCRIPTION: LOT(S) "..,)~7 <br /> <br />~ L-1 .-<- <br /> <br />PHONE <br /> <br />17....1-525"'0 <br /> <br />JOB ADDRESS <br /> <br />SO .:J I <br /> <br />BLOCK /.p (J <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />II - :< fc -,2. / <br /> <br />DO/O <br /> <br />/7000 - 60blQTAIN FROlvl PROPERTYTAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN 0 MOVE 0 DEMOLISH <br /> <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING '~-FAMILY 0# OF UNITS <br /> <br /> <br />o COMMERCIAL 0 INDUSTRIAL 0 SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WO~ <br /> <br />()LA.J:Jle/, <br />, I' <br /> <br />2. C, I '-I .t. ,,() I "j <br /> <br />SQU.ARE FOOTAGE <br /> <br />J71f7 <br />. <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <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 />PERMITS REQUESTED <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br />,.Joe ./ <br /> <br />PV:JW O~p: <br />~\,\ l~ <br />~J\'(l)lO 0tJ~\~ <br />W.R.E.C. <br /> <br />.~ <br />(~ <br /> <br />f\)~<<~ <br />DLfVli fiJ4"4" <br />,~}U.~ l ,~ <br /> <br />o BUILDING <br /> <br />$ <br /> <br />1:'/ 5;~ VA~UATION OF ;:9"AL CONSTRUCTION <br />AMP SERVICE ~progress Energy 0 <br /> <br />o ELECTRICAL <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />....., <br /> <br />VALUATION OF MECHANCIAL INSTALLATION6~ <br /> <br />o GAS <br /> <br />o ROOFING <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 AREA~ <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY (rJoaJ CC.--.f>~~'r;;."-. <br /> <br />~ <br /> <br />SIGNATURE <br /> <br />'W<7__~Q <br /> <br />STATE CERT OR REGIST # <br /> <br />E~ECTRICIAN ~ <br />SIGNATURE lrJ ~ ~t;.. :---._ <br /> <br />****************************************************************** <br /> <br /> <br />COMPANY ~~J~.-.J <:~/~~7J ~ <br /> <br />~ <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />(}.J <br /> <br />PLUMBER <br /> <br /> <br />COMPANY -~Sl~;::)..S \~ ~\t\~~" ""t~, .... <br />STATE CERT OR REGIST # (~~\lt~~~t'l~ <br />" <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />*********************************~************* <br />COMPANY ~~ ~L4Y- <br /> <br />STATE CERT OR REGIS~ # -If /1- OCJ I oY h / <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />