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<br />/C(rv y (f7/t/h <br />JjJ I;X 1.2- <br /> <br />If).:d /30D <br /> <br />(P/35. pe,I+~L sf. <br />3B;'~c:L <br /> <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 />(, <br /> <br />DATE RECEIVED //j)..FDL <br />PHONE CONTACT FOR PERMITTING;::~-7/ttJt.1/- <br /> <br />2aC~ PHONE 71-3..:- 7i1;J. -C9DJ y- <br />~ L-f.rhvrh,Jf)J Fe ~3Q<.fc1 <br />!F"C , BLOCK R=fl~/ Sf SUBDIVISION L"cK'.J' 011KSJJf! (YtIHP <br />tO~ OO,,1,OO~ OO( 0 <br /> <br />IOBT-P>.IN FROM PROPERTY TAX NOTICE) <br /> <br />G <br /> <br />y1{'f~~T') <br /> <br />IN <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />JiINSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />LING <br /> <br />O~1ULT I - FAMIL Y <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />KlMOBILE HOME <br />o OTHER <br /> <br />o COMMERCIAL <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK mob; I P. ho me se.t up <br />BUILDING SIZE ,/8')( ;;1..1 SQUARE FOOTAGE 51(, I <br /> <br />Ii )/ <br />9 Jove.. V-o ,,(jaM ~ ~ 8' <br />HEIGHj~Wl17 1'u i;.,,( I} <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />1& BUILDING <br />o ELECTRICAl, <br /> <br />$ <br /> <br />1800 ~i1 <br />/{O <br />o <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />~ FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />l51 PLUMBiING <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 />g] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />L__~_l.,__.._"____ <br /> <br />BUILDER <br /> <br /> <br />k{ <br /> <br />C()NTRAC~:a:~5S'UCm:'.()N ] <br />,.,' ',' .,' '.' . ....,'/ ..'C:::'Y-~ ~~1.-:--7-;;:;~~-:7~~J-_i~7_=;;p 7:,~ . <br /> <br />I r <br /> <br />STATE CERT OR REGIST # J}/J,!OO tjt 7 <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE ~~1 ~ (f <br /> <br />COMPANY E ,<.J iJ J f..o A) At? e ;t} 7 # L M UT <br />STATE CERT OR REGIST # E tlc()/ )"5 f~ <br /> <br />crk <br />I/- <br /> <br /> <br />*********************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY ?d\ft-- ,7;a"s/hrl ~11) .Je,/~t/} "4c. <br />. <br /> <br />STATE CERT OR REGIST # f!l~(/Odrtf'l <br /> <br />MECHAN1CAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br /> <br />SIGNATURE <br /> <br />STATE C <br />