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<br />',' <br /> <br />" <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 w~ <br />813-780-0020 FAX:813-780-0021 I '( oS <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />ow'"cc' ~ ,,,,,,PC; 0 ri-\: ~1)~l~f''' Co., -r"f <br />JOB ADDRESS~~f~ ~{ bw{\b~es <br /> <br />PHONE <br /> <br />916 / ~It.{ - GOD I <br />, <br /> <br />SEGAL DE:;rTE'TION: LOT(S\ <br />PARCEL ID # s.t~ o..-t{tt.. P~..e..tt <br /> <br />B LOCT <br /> <br />SUBDIVISION <br /> <br />(DBT1\IN FROM PROPFRTY TAY tKlTICEI <br /> <br />\iJOR.K PROPSED: OJ',JS\-) 'CONSTRUCTION <br /> <br />o }\DDITION <br /> <br />DJ<,LTERAT [ON <br /> <br />o REPJ<.I R <br /> <br />o INSTI\LL <br /> <br />O,;IGN <br /> <br />o MOVE: <br /> <br />o DEMOLISH <br /> <br />DROPO,;ED USE: DSGL F.ZI.HILY DHELLING <br /> <br />OHULTI - FJ<J"II LY <br /> <br />0# OF Ur;ITS <br /> <br />o HOBILE HC':"E <br /> <br />o CO~U'1EP.C Ill,L <br /> <br />o INDUSTRIJ<,L <br /> <br />o ,~vJI['1JvIING POOL <br /> <br />o OTHEP <br /> <br />DESCRIPTION OF WORK <br /> <br />C RE,;T,I\.IJRI\NT & HE,I\LTH DEP.A,PTHENT ,q'PROV.II,L <br /> <br />2Lf-t uJDrk <br /> <br />BUILDING SIZE <br /> <br />5QUJ<,RE FOOT.IIJ:iE <br /> <br />HEIGHT <br /> <br />PESIDENTI.I\L: p"TT.I\CH (Z) PLOT PU'.NS I; (Z\ SETS OF BUILDING PLHIS <br />CO~U',1ERCI.I\L: ,I\,TT'=\CH (3) SETS OF BUILl,ING PU'IJ1:'; & rIi ,;ET ENERGY <br />IF SICiN PEFJ"IT ONL'{ ( i SET~; OF ENGINEEPED PL,1\,NS REQUIRED. <br />PROPERTY SURVEY RE:QUIRED FOR .1\,LL NE~l CONSTRU'.:TION. <br /> <br />o ELECTRICAL <br /> <br />& (1 i SET E'JERGY FOR1.iS. <br /> <br />(T'IZN~ (~~~ / <br />5l-'-l f w ,,^V }1f\J'LM \ I. <br />PERMITS REQUESTED @ c.cNrrf't t1.~, \J~. j)j~IT J <br />"",,:~:;:no," ~C :':::~e':'"::::::W~ W~/h14\l' y <br />. @ l~ ~~.:t\L f1;f- <br /> <br />o BUILDfNC; <br /> <br />'i'-f'6; ;~ C-~ <br /> <br />--~ iIlt. <br />s _ iIII. <br /> <br />o PLUHBTNG <br /> <br />o MECHJ<,NICJ<.L <br /> <br />D GAS <br /> <br />o POOFING <br /> <br />o SFECIl',LTY <br /> <br />VALUATION OF MECHANCIAL INSTALLA~:' <br />''f- OTHER G?/ <br /> <br />6~'i11t~MilNl^'-~~\'\. V <br /> <br />s <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 PROcTE:CT IN FLOOD ZONE .'l.REAO YEo: 0 NO <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER <br /> <br />C:OHPANY <br /> <br />SIGN.II.TURE <br /> <br />ST.1\,TE CERT OR REGI ST # <br /> <br />****************************************************************~* <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CEPT OR REGIST # <br /> <br />************************************k***************************** <br /> <br />PLUMBER <br /> <br />c:or-1p.'l.NY <br /> <br />SIGN.'l.TURE <br /> <br />STATE CERT OR REGIST # <br /> <br />*************************************************************+**** <br /> <br />MECHANICAL <br /> <br />'~OHP.'l.NY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />*******************************************+********************* <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST <br /> <br />~VV\.~(U~~lM CD.k <br /># C~~J5Dlm'S <br />$j(5LI'~-~ <br /> <br />'I OTHER <br /> <br />~4~ <br /> <br />COMPAN~fl1 ,(\-t~ <br />