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<br />CITY OF ZEPHYRHIT...lcS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED j-C:;/; -of! <br />PHONE CONTACT FOR PERMITTING 7 /Y-9/ 5- ? <br /> <br />OWN.R'S NAME 6- fe'", "~ 117 '1/1 <br />JOB ADDRESS 1/-/3 V < /()6 "51) k') K../ <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCETJ ID # SS- - 2 S- -~ 1-0(\ /(j '- I 2~d <..) -(}}uO <br /> <br />PHONE _ )),f-():< Y f <br /> <br />SUBDIVISION (.01{", f,,\ Oct k C S()L~ 11; <br />/ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[JADDITION <br /> <br />[JALTERATION <br /> <br />[J REPAIR <br /> <br />Q(INSTALL <br /> <br />[] SIGN <br />PROPOSED USE: ~GL FAMUY DWELLING <br />[] COMMERCIAL <br /> <br />[]MOVE <br /> <br />[] DEMOLISH <br /> <br />OMULTI-FAMILY <br />[] INDUSTRIAL <br /> <br />0# OF UNITS <br />[] SWIMMING POOL <br /> <br />~OBILE <br />o OTHER <br /> <br />HOME <br /> <br />CJ RESTAURANT <br />DESCRIPTION OF WORK ~ () <br />BUILDING SIZE ! '( X S> )- <br /> <br />fb/l <br /> <br />. <br /> <br />& HEALTH DEPARTMENT APPROVAl, <br /> <br />MlJLI S ~ I- l.I/J <br /> <br />__, f <br />SQUARE FOOTAGE .5 0 '-' <br /> <br />HEIGHT /]! 6 (/ <br /> <br />l1(1) <br />ttl)\o <br /> <br />~LDING <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUUDING PLANS & LJ..-)-'S'ET' <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY/FORMS. <br />IF SIGN PERMIT ONI,Y (2) SETS OF ENGINEERED PLANS REQUIRED. ,,// <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRU~t~ON. /1~ <br /> <br />f do' <br /> <br />-r;{/ ~ <br /> <br />$ <br /> <br />?)~0 <br /> <br />, <br /> <br />/00 <br /> <br /> <br /> <br />ENERGY <br /> <br />S. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />IlY'ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />[] <br /> <br />W.R.E.C. <br /> <br />~..IUMBING <br />GMECHANI CAL <br /> <br />$ <br /> <br />J fd 0 <br />I <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[] GAS <br /> <br />[] ROOFING <br /> <br />[] SPECIALTY <br /> <br />[] OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK ~RAME <br />" I <br />FINISHED FLOOR ELEVATIONS J U - 5 2 (I <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />IS PRO,JECT IN FLOOD ZONE AREA[] YES <br /> <br />(ij NO <br /> <br />BUILDER <br /> <br />~/L <br /> <br />~Q~=::"'H_~Q~~~ ". ',.",."", <br />- ~/~~ ::::~::~~~:.~~~~:~'ti~ <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br /> <br />* *************************************** <br /> <br />ELECTRICIAN <br /> <br />Oo(phlJ1 <br />/ <br />STATE CERT OR REGIST <br /> <br />E ~1t..~A;Z.€. <br />, <br /># ,EI<. 0 lJOO~--r{., <br /> <br />COMPANY <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />jlL <br /> <br />(L.) <br /> <br />COMPANY A ~~ us/) J2 J <br />STATE CERT OR REGIST # ..I 1-100 Ju6 0 '/ <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br /> <br />********************t************~*1 <br /> <br />COMPANY fJ6 r~111 /l A,'r( ~yure#1..s <br />STATE CERT OR REGIST # Cpt-C Dr? / / r <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REG 1ST # <br />