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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 <br /> <br />DATE RECEIVED <br /> <br />/-1- /@ -0 '?> <br /> <br />PHONE CONTACT FOR PERMIT'rING <br /> <br />OWNER'S NAME 1C.1"t-1- h-< r-r A.I-<- '6 r-<. we.. r <br />JOB ADDRESS 5QO J ~1't-l \ 7?/,} j <br /> <br />PHONE <br /> <br />7~'- 7tc;;Y <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />( Q1l11.\..JJL..E1illr:L.P..lli212.E.RTL...'.l'.8lCNQ'LlCEJ__ <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />OSIGN <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o RE PAIR <br /> <br />D INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: 0 SGL FAMILY DWELL ING <br />~:()MMERC IAL <br /> <br />DMULTI-FAMUY <br /> <br />o it OF UNITS <br />[J SWH1MING POOL <br /> <br />r.J MOBILE HOME <br />o OTHER <br /> <br />D <br />INDUSTRIAL <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ RESTAURANT & H8ALTH DEPARTMENT APPROVAL <br />/(yrnof- 5f1-~f/~~ Nfl ,_ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (l) 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-F <br />FORMS. <br /> <br /> <br />/9i,(J. <br /> <br />~ <br />// /1 V <br />. 5 w <br /> <br />PE:::T:O::~::::NSTRT)CTI( 11 ~ ~ <br /> <br />o BUILDING <br /> <br />$ <br /> <br />" cJ <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POIvEB. <br /> <br />[] W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br />D GAS ~OOFING <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o SPECIALTY <br /> <br />o OTHEB. <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 <br /> <br />D NO <br /> <br />l_ <br /> <br />-----...-~_..__._--~--_..--,-..~--.------.--.~,-~--.------....-.--.-.---.---____. __..__.._n__.._____~____ ____.._ <br /> <br />CONTRACfOkSEC1':tON <br /> <br />-......- -,...-...-~..,......_'..~",.,.., -....-.---~_.._....__~_...__J <br /> <br />BUILDER <br /> <br />COMPANY___ <br /> <br />SIGNATURE <br /> <br />~ <br /> <br />STATE CEB.T OR REGIST ff <br /> <br />********************************************************it********* <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />ST~TE CERT OR REGIST it <br /> <br />********************************************************~,********* <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATUB.E <br /> <br />STATE CERT OB. REGIST # <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST it <br /> <br />***************************************************************** <br /> <br />OTHER /(~(~)'f :~ <br />SIGNATURE ~L <br /> <br />COMPANY )c ;T!i)/rlC ~rl,v /Z19ot.'/C.J?, <br />STATE CEB.T OR P,EGIST #_,c..CC~_1,O_.._____ <br />