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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 i~f^r~/ . . <br />DATE RECEIVED ~ <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME ~I 'nCL <br /> <br /> <br />eeJ ~ f-c:c: 't--e-r;;.Je~r-m~ ~ PHONE (Jl3 -7t' ~ -0 R~~ <br />cvJL z:.. ~r . -.' <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT (S) DOd-.O <br /> <br />BLOCK {)S-J,co <br /> <br />SUBDIVISION ero/c> <br /> <br />PARCEL 10 # 03 ,;;)",10 -.:J.j - DiD,D D-.s~Do - ()t)~o (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />DSIGN <br /> <br />o ADDITION <br /> <br />o ALTERAT ION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br /> <br />~ER <br />.tn ~I c.../L; <br /> <br />BUILDING SIZE <br /> <br />CJ RESTAURANT & HEAl.TH DEPARTMENT APPROVAL <br /> <br />~~ ~ ~ ~ \'\9.-<-0 '\'\In ~ .e.odr. <br /> <br />SQUARE FOOTAGE HEIGHT <br /> <br />DESCRIPTION OF WORK <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 />& (1) SET ENERGY FORMS. <br />FORMS. _I I <br />NOL N6t l~~d OiP <br /> <br />f'd-13tj IL 0 I NG <br />~ECTRICAL <br /> <br />Au- 5c...L~ S,~n <br />PERMITS REQUESTED p""" -+0 rbrMiH1n) <br />3ssue- ~ {)e,mtt <br />VALUATION OF TOTAL CONSTRUCTION (Ie...Q? ( .-\-0 Qu-~ 507'+ <br /> <br />AMP SERVICE <br /> <br />~progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />~~ING <br />~ECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 0 NO <br /> <br /> <br />SIGNATURE <br /> <br />~OMPANy~~)'n..$ff~~ t~;tt:&E- <br />STATE CERT OR REGIST # c....11c!.- J ~-5t>7 /~ <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br /> <br />**.*7*************************** <br /> <br />'1,,> JA~' <br />I I ~ a ..J <br />COMPANY Ci.-.u- ~ t:k <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />PLUMBER <br /> <br /> <br />**************************************~~************************** <br /> <br />1 S, <br />. COMPANYS~ f..:~~- <br /> <br />STATE CERT OR REGIST # c.,:;c..O.1 <l73~ <br />;)'> . <br />*******~***ii**************************** (' . (\ <br />t' .~OMPANy~&..~rn~,~'~L <br />.. -1<'.-' <br /> <br />, \ <br />'STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />