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<br />DATE RECEIVED ;-021-01 <br />PHONE CONTACT FOR PERMITTING 1/1./-1~f <br /> <br />OWNER'S NAME (d,'i/;rtrn I~. ZAcK PHONE (gI3) 78;)-;2.{)/:? <br />JOB ADDRESS1/~t:5ew-~ :l~pI:)lrh,Jis /"1 3dS7'~ <br />],EGAi 'i{.'fCRI ~N: ~S) ulll. BLOCK R"'1fl ~SUBDIVISION {)fiKSioe YlnH P <br />PARCEL 10 # tJ~- ~,,- ..;l/.. ()Dd()- OD300-()DIO (QB'{'AIN FROM PROPER'I'Y TAX NOTICE) <br /> <br />CITY OFZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[J SIGN <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERC IAL <br /> <br />o ADDITION DAI,TERATION o REPAIR ~ INSTALL <br />o MOVE 0 DEMOLISH <br />DMULT I - FAMILY 0# OF UNITS fgj, MOBILE HOME <br />o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br />~1'1 I t/ / ., / <br />BUILDING SIZE Q'L 1\ -4... <br /> <br /> <br />SQUARE FOOTAGE <br /> <br />~6,J'/ <br /> <br />q~'1. <br />HEIGH' <br /> <br />[, (1) SET ENERGY FORMS. <br />FORMS. <br /> <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 />o GAS <br /> <br />o ROOFING <br /> <br /> PERMITS REQUESTED <br />$ 1300 ()O VALUATION OF TOTAL CONSTRUCTION <br /> J5(J AMP SERVICE ~ FLORIDA POWER 0 W.R.E.C. <br /> 'j (JO 40 <br />$ VALUATION OF MECHANCIAL INSTALLATION <br />, <br /> o SPECIALTY 0 OTHER <br /> <br />!8f....BUILDING <br />~, ELECTRICAL <br /> <br />~'" PLUMBING <br />, MECHANICAL <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />[J STEEL <br /> <br />f!:l. OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PRO,JECT IN FLOOD ZONE AREAD YES jg. NO <br /> <br />L._____.L_________.___.,. <br /> <br />CONTAAc~!t;;iS~S~,tON ] <br />c c. . c ",'.""',.,'1"""'-"."""".'_, _____...._ __________ ,__ <br /> <br />COMPANY (j..",[;;. 1(-0It'\5fO<""T;..r\J s..e)-ut Ih('- <br />STATE CERT OR REGISi5l~\,A/-/ ~ 0 at) 'lei ? <br /> <br />BUILDER L d <br /> <br />SIGNATURE , ~ <br />//" ' C7 <br />~ ****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY f AJ iJ I fa It) i1 e A:JT JJ-L fLe> JJT I et..- <br /> <br />SIGNATURE & JIg^'! ~1/~~ @. STATE CERT OR REGIST # E I!..ool 3 5 f'--.:, J/" <br />(tJ/{f'J {J(),~t/II?/ '{?M~ 1C1 I~"-" <br />******************************************************* *~;*~**~ <br /> <br />PLUMBER <br /> <br /> <br />COMPANY u.~for 7~~t)~fo(f A",J .k-J-uf II'} e- <br />STATE CERT OR REGIST # :tJl OlJ60 7~ ? <br /> <br />MEC <br /> <br />:tCAL <br /> <br />SIGNATURE rlv,'''1 ~~ _ @ <br /> <br />****************************************************************** <br /> <br />***************************************************************** <br /> <br />COMPANY r; It) iJ j R. 0 It.J M c I/T ff"L <br />STATE CERT ~# <br /> <br />C!fi AJr, <br /> <br />&k.- <br />V <br /> <br /> <br />2- <br />,~ <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />------------- <br />