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<br />.. <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECEIVED 7/'0103 <br />Ji!.LANSMv I ";W WE <br />--;.k .3. 7.po7 A??;(.vl.t) If'5lJ,!lr~5 <br /> <br />PHONE .8/'o/'Ah~7Q '5"3 <br />tP 9/1 (; dI 61vtfl. <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />F. y, M. +-lOL.DlNt;~ <br />(~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />03 - 2h- '2.( - 0010 "Olr;,co -00)0 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />J21'COMMERCIAL <br /> <br />OMULTI-FAt1ILY <br />o INDUSTRIAL.. <br /> <br />0# OF UNITS <br />O ".~..' <br />. .; _ .SWIMMING<.:~OL. <br />1i>>.... . .. <br />.. I <br /> <br />, 0 MOBHE HOME <br />.' ., 'I~"'" <br />)0')' <br />'., OTHE~ <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />CAR ""A~H <br />130" K 2.7 '.4!' <br /> <br />SQUARE FOOTAGE <br /> <br />.37a,'2- <br /> <br />... 't:L." <br />HEIGHT ~.2 <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br /> <br />J:]A3UILDING <br />~~ECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />~UMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 AREAO YES <br /> <br />o NO <br /> <br /> <br /> <br /> <br />BUILDER COMPANY RAtIlOI\( i' ~JM~ <br />STATE CERT OR REGIST # CGCO+980A <br />SIGNATURE~. CITY PROCESSING # <br /> <br />* * * * * * * ~*.. * ~ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *.,*'" * * * * * * <br /> <br />ELECTRICI~AN~' COMPANY r;, ro~. Ele..c-f;r,' C <br />" ~ ~_ S>TATE CERT OR REGIST # Ec. 060 l1-rc. <br />SIGNATURE CITY PROCESSING # <br /> <br /> <br />****************************************************************** <br /> <br />PLUMBER . ~_~ ~ <br /> <br />SIGNATURE/, '<:;/ fy . <br /> <br />COMPANY../' f!Uk5/J8/2.6c/2" O(U fr'BW6 <br /> <br />STATE CERT OR REGIST #)( ~. <br />CITY PROCESSING # LJ __~ <br /> <br />************************************************************* <br /> <br /> <br />MECHANICAL Li2 COMPANY <br />v.4 . STATE CERT OR REGIST <br />SIGNATURE l2 ~___~ CITY PROCESSING # . <br /> <br />****(*******************...**************************************** <br /> <br />OTHER V R . ur I N G-- COMPANY Karw C-on. L Lc... . <br />/j / . ~ STATE CERT OR REGIST # c....~05 '3d.-3 t. <br />SIGNATURE~I ~ CITY PROCESSING # J/ <br />/ O,!'..... V 0 ~ <br /> <br /> <br />. J'< <br /> <br />" <br />