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<br />li <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 )>} I.., ~4J-" <br />DATE RECE lVED ~ (/ -'- <br /> <br />PHONE CONTACT FOR PERMITTING/h"5-'1119 <br /> <br />OWNER'S NJ\ME~ ~ ~ <br />JOB ADDRESSJoI- (q.-1 ?VOG? ~051L Sf- <br />IJEGAL DESCRIPTION: LOT (S) J 4-7 BLOCK SUBDIVISIONd24:it:5i..c <br />PP..RCEL ID # ;24--eJe,-,}-I--{XY50 --~ .-.L4(a:) (OBTAIN FROM PROPERTY <br />WORK PROPSED: ~ CONSTRUCTION 0 ADDITION DALTERATION D REPAIR <br /> <br />PHONE <br /> <br />2-1-11 LLS <br /> <br />;:::-,1- <br /> <br />O~I<S 1/'", <br /> <br />TAX NOTTCEL_ <br /> <br />D INSTALL <br /> <br />Os I GN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMl'1ERCIAL <br /> <br />OHUIJTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />OSWI:MMING POOL <br /> <br />o MOB I LE HOM] <br />o OTHER <br /> <br />DESCRIPTION OE' WORK <br /> <br />o RESTAURANT <br /> <br />f ~y 50 <br /> <br />& HEM,'I'H DEPARTMENT APPROVIUJ <br /> <br />ili;UL~ <br /> <br />SQUARE FOOTAGE ~ a-(f) <br /> <br />BUILDING SIZE <br /> <br />HEIGHT <br /> <br />RESIDEN'['IAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR1vlS. <br />Cm~'1ERCIAL: ATTACH (3) SETS OF BUILDING PLro~S & (1) SET ENERGY FOffi'1S. <br />IE' SIGN PERtlIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY RE:QUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />D ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />r~. <br />!V <br /> <br />o BUILDING <br /> <br />PERMITS REQUESTED <br />) 5/)() ..00 <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />$ <br /> <br />o PLUMBING <br /> <br />o JvlECHANTCAL <br /> <br />$ <br /> <br />VALUATION OF H~~CHANCIAL INSTALLATION <br />D OTHEh <br /> <br />o GAS <br /> <br />lJ ROOFING <br /> <br />[J SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />D FRAME <br /> <br />o STEEL <br /> <br />Ll O'l'HER <br /> <br />nNISHE~D FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE MEAD YES <br /> <br />D NO <br /> <br />~-_..'--------_._---------_._-_._----------_.---;-"-.'" ...----..-:--------... -. -..----.....-:-. .................. -------------------.----.--..----------:-.--.---- <br />CO~C*OR>i.~~~'.t'ION <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIS'!' # <br /> <br />*******************************~*****k**************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />.******************~************k********************************* <br /> <br />PLUNBER <br /> <br />COHPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***k**********~******~******~~*~********************************** <br /> <br />NECHANI CAL <br /> <br />COHPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />OT""R (iJVJ~' eM* i Ufj;;~H_~'~**::::~:;iif;<:;:: ?;.;~ <br /> <br />SrGNATURE~a~_____________ S'fATE CERT OR REGIST #_)-Ji.(?-~_S________._ <br /> <br />JJASCo <br /> <br />t>q 777 <br />