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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 eTH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 (,I\$102> <br />DATE RECE IYED ~ <br />(<6I:>}C1l1i .43 7+ <br />PHONE CONTACT FOR PERMITTING ~!Ot'r'(l,~ <br /> <br />OWNER'S NAME Rve.iY'cuJs, LJC. <br /> <br />JOB ADDRESS ~q a ~ q+b S+r e..v- <br /> <br />PHONE (~)~)<1OjI' 431~ <br />Z-Pphy ( h I'lls. FL. 3~ ;)..... <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # \4--;tto-;lI- (X) I 0-00500- 01 \ 0 <br /> <br />(OBTAIN FROM PROPER1'Y TAX ~0TICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />Os I GN <br /> <br />o ADDITION <br /> <br />,txlALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />PROPOSED USE:~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOB ILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK LJ P6KAbE, &~VLc.t Tn l50 A-Mp- <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PEffi1IT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br />r;aJ ELECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />/50 <br /> <br />AMP SERVICE <br /> <br />rf1 nOR IDA POWER <br /> <br />..../. <br /> <br />o W .R.E .c': <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />ON/;:;;; , <br /> <br />~'.'''''' <br />. . <br />. <br />i <br />". / <br />'----------- <br />AREAO YES 0 NO <br /> <br /> <br />o PLUMBING <br />o MECHANICAL $ <br /> <br />VALUATION OF MECHANCIAL INSTALLA'T <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE <br /> <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />~ ~- K-- <br />SIGNATURE ~---cf'" <br /> <br />COMPANY Keese elec..f--n'C(L( J TjJe, <br />STATE CERT OR REGIS'r #-.Ll..(-Lt 9 <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # , <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNA TURE~ <br /> <br />STATE CERT OR REGIST #_______. <br />