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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TA st, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />/- c2-~-Df <br /> <br />, <br /> <br />PHONE CONTACT FOR PERMITTING '71 y- C;/ .)1 <br /> <br />OWNER'S NAME S'.Il ~/ <br />JOB ADDRESS .> J ;2J fa.. ~5~' L-t (2~ <br />LEGAL DESCRIPTION: LOT (8) BLOCK SUBDIVISION t../J'1-(,.<.,IJ tfPf <br />PARCEL ID # dY- 2h- 2(-() U Y O'()0 DO U ~/Z5. 90BTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPSED: ~NEW CONSTRUCTION 0 ADDITION OALTERATION 0 REPAIR ft'INSTALL <br /> <br />PHONE ')? t - () '2 yy <br /> <br /> Os I GN o MOVE 0 DEMOLISH <br />PROPOSED USE:~SGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS mMOBILE HOME <br /> o COMMERC IAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ;{ (J /or J ;W6~ / Ie! v/ <br />BUILDING SIZE / Y X $ J- SQUARE FOOTAGE S-'0 C> <br /> <br />HEIGHT <br /> <br />/ 3 ~-bl/ <br /> <br />RESIDENTIAL: ATTACH (2) PI,OT PLANS & (2) SETS OF BUUDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUUDI.NG PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~~~~ING <br /> <br />$ <br /> <br />12 c :J <br />/j ~ <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />]g. ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />I2K PLUMBING <br />0(, MECHAN I CA,L <br /> <br />$ <br /> <br />/Iu J <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 .R" FRAME <br />FINISHED FLOOR ELEVATIONS 3:{~ S 2 v <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />,t&r NO <br /> <br /> <br />SIGNATURE <br /> <br />~ <br /> <br /><<A' <br /> <br /> <br />COMPANY SqU { w~~ <br />STATE CERT OR REGIST # :I J 0 2:.0u.h oyf <br />, <br /> <br />BUILDER <br /> <br /> <br />SIGNATURE <br /> <br />* ************************************** <br /> <br /> <br />COMPANY A f1h,'l K~t~-;Je S <br />STATE CERT OR REGIST # G/L tJ o {)OSS-{., <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />/tt- <br /> <br />4LJ <br /> <br />COMPANY If 5t4- It u S q 6. .\ <br />STATE CERT OR REGIST # II-/-u:::'::::'::::'6a ,Y <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br /> <br />* * * * * * * * * * * * * * * * * * * * * * * * * *Jtt * * * * * *)'-? J:.. - <br /> <br />COMPANY {Jot tJG7'''1 H-r'x ~~ '#tS-!,<~ <br />STATE CERT O~ REGIST # eM OJ-7 ~l f <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPAN'L-- <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />