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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUIILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING 813 -78.:1-' Of~ <br /> <br />OWNER'S <br /> <br /> <br />~h U ~ -So rm. ~ ~ JJp~ONE [f(~ -- 7 f':; .D<f>-<5" <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRI PTION: LOT (S) () ~'D BLOCK O~ O'D <br />PARCEL 10 # 03--< b- .:2..1- DDlo - b3~OD. ~o <br /> <br />SUBDIVISION 0 D /0 <br /> <br />{OBTAIN FROM PROPERTY.TAX NOTICE! <br /> <br />WORK PROPSED: k1NEw CONSTRUCTION <br />DSIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br /> <br />0* OF UNITS <br /> <br />o MOBILE HaM <br /> <br />o COMMERCIAL 0 INDUSTRIAL 0 SWIMMING POOL Jd.-oTHER. <br />yYJ 'e-C~d <br />c=J RESTAURANT & HEALTH DEPARTMENT APpROVAL <br /> <br />DESCRIPTION OF WORK hv\~ ~{e...L:VVl., {)fS~~@.<.f~t.~)'e~'1~ <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 PERM~T 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 />$ <br /> <br />VALUATION 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 />~NICAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />$ <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 0 NO <br /> <br />~~''''''~''"7'',,",'''' It..,... ""'----""'V~~-7T~- ~-'-.r..'. '~-'-G~--------'T"'- '_'~'rr-' ,~"- ...,-r~' '~"""""'~"':rTI~-~~-~~ <br />'I. -.c.,d I . I II I,,' I I I I I I ' I , j ,I I jf I r f I," I J' '":r. ~, j ~:., I 'I' ... 1h~ " <br />1111, "Jtll'lll t 11,1 '''1'1 'I' r ' I < ;' - . \, I I I I -' 1'[ J t1, 1J] j'l I ,,,'"1\ '11 1 I" J 111" ~J: ~lpr1Jlli <br />"II 11111"1 Iltl' I r I r,::'~ I', f 3 '_ ,,-1':..~'j~ f' \ ,I ;. lj f IJ 1111 ( 1,1 01 fe-i'-~ lNf~II~J'ij <br />-,~~~J..;._~~_~.....__........L~-~------- I __r:-rJ1'0h"r'~ <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 J COMPANY a) "tile ~dll1l ('It f }~ C. <br />SIGNATURE ~ ~ STATE CERT OR REGIST * (!.A.!!-f) I ~ I ~ b <br />/' <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST * <br />