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<br />OWNER'S: NAME <br /> <br />JOB ADD~SS <br />I <br />I <br /> <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 />DATE RECEIVED -Ll L\ (O(p <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />f) obei--T <br />j 3 L/~ <br /> <br />f/- /(/v frf f <br />:AP T~ 57: <br /> <br />Z!3PJ-/y R L+/[( 5 <br /> <br />PHONE -81'5 -1'1 fi' - 7 37"3 <br />Pc '3"3 ~c.;2 <br /> <br />LEGAL D~SCRIPTION: LOT(S) <br /> <br />PARCEL ~D # t d. -a Co -~ \ - ()Od.6-.00 ice.. b \ &::::> <br />I <br /> <br />WORK PRPPSED: [JNEW CONSTRUCTION <br />I <br />I []SIGN <br /> <br />PROPOS*D USE:~GL FAMILY DWELLING <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />[JADDITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE\ <br />[JALTERATION /;1{EPAIR [J INSTALL <br />[] DEMOLISH <br /> <br />[] MOVE <br /> <br />[JMULTI - FAMILY <br /> <br />[J MOBILE HOMI <br />[J OTHER <br /> <br />[J COMMERCIAL <br /> <br />[J INDUSTRIAL <br /> <br />[J* OF UNITS <br />[J SWIMMING POOL <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL <br />DESCRIPtION OF WORK uP GRApe ~L{'(TRI(P/-J Pl.v'1I3/;./Ci blZyWI}LL I l-IuR'CAIJY:. cuP5 <br />{ '" -./ <br /> <br /> <br />ELECTRICfAN .., <br />SIGNATURt aW If ~ <br /> <br /> <br />I <br />I <br />I <br />I <br />i <br />~UILUI1G <br /> <br />~LECTRIICAL <br />~LUMBI~G <br /> <br />[J MECHANI~AL <br /> <br />o GAS <br /> <br />TYPE <br /> <br />BUILDER <br />SIGNA;URt <br /> <br />PLUMBER <br />SIGNATUR1 <br /> <br />ME CHANI ct <br />SIGNATUR1_ <br /> <br />OTHER <br /> <br />SIZE <br /> <br />HEIGHT <br /> <br />SQUARE FOOTAGE <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. .JIM.; SHALL COMPLY WITH <br />:. APPLICABLE BUIWING, <br />TTRICAL, PLUMBING AND <br />'fl.AN1CAL CODES. <br /> <br />PERMITS REQUESTED <br /> <br />$ dODO. C:::D <br />;;(00 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~progress Energy <br /> <br />[J <br /> <br />AMP SERVICE <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br />~RAME <br /> <br />q ROOFING <br />I <br />I <br /> <br />o SPECIALTY <br /> <br />ONSTRUCTION: 0 BLOCK <br /> <br />o OTHER <br /> <br />o STEEL <br /> <br />FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES [J NO <br /> <br />~ <br /> <br />r.. ~~ \-\.~~ <br />.J'Z," COMPANY --- <br />fJ ~ STATE CERT OR REGIST f <br /> <br />***************************~~************************************ <br />,... <br />~J- <br /> <br />COMPANY <br /> <br />~.....~~~ <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br />-~ <br />7'j~ <br />uUJH~ <br /> <br /> <br />****************************************************************** <br /> <br />COMPANY .we~"'-l.2 ()t5-~'- <br />STATE CERT OR REGIST # <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />