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<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 />DATE RECE IVED <br /> <br />! ~f! /~tf <br /> <br />( I f <br /> <br />PHONE CONTACT FOR PERMITUNG <br /> <br />OWNER'S NAME Mm -JO//d/)A.) <br />JOB ADDRESS ~'~+'~ 0" 7'4" 4v-e .:319 0 ~ <br /> <br />111[1< jg. II v~ r <br /> <br />PHONE glg.- 7 f3g - e7?, / <br />. <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />PARCEL ID # ("2,/2 G /2r /02. Y'ohooCJo /0,0/0 <br />. / / / <br />WORK I?ROPSED: ~CONSTRUCTION 0 ADDITION o ALTERATI ON <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />.--- <br />PROPOSED USE: ~FAMILY DWELLING <br /> <br />o COMMERCIAL <br /> <br />OMULTI-FAMIL.Y <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOB I LE HOME <br />o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK Co.t/S//ZA C / rz/e.--iU S:-7-v?-Ge- <br /> <br />" <br />tC4/3t L-7 \./)v-e./A'::/"v"L.- <br />, <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />L6V8 <br /> <br />HEIGHT <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) SET ENERGY FORMS. <br />FORMS. <br /> <br />~ILDING <br />~~ECTRICl\TJ <br /> <br />$ <br /> <br />-iT <br />/CtJ, 000 . <br />, <br /> <br />PERMITS REQUESTED <br /> <br />S':+\- 0100 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />,,700 <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />~~BING <br />- ~ <br />~:HANICAL $ 2&'00 <br /> <br />o GAS ~~FING 0 SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ~CK <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />'130 <br />,:2 <br /> <br />o OTHER <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PRO,JECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />I__~_. <br /> <br />-..._ ~..~.._~_~__.___._~__.___~____~_~__ cO~~g~~2$._~!~,~________~________~ <br /> <br />COMPANY 602-e/?J-''l-J 4or?t-e.5 ;Z:-"uC <br /> <br />~ <br /> <br />BUILDER/) // <br />SIGNATURE ~~.. <br /> <br />~ <br /> <br />STATE CERT OR REGIST # KA - oS-7/c:J 2- <br /> <br />ELECTRICI <br /> <br /> <br />*************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY ~ CjJ~ <br />E-c c)()d~;???\ <br />STATE CERT OR REGIS'!' # __ _ _____ ~ <br /> <br />*~*~*k*************************************w** <br /> <br />PLUMBER <br /> <br />COMPANY Uhy :;;~.AJ <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />MECHAN lCAL <br />SIGNATURE ~ U <br /> <br />****************************************~*********** <br />I <br />COMPANY .5 () f/} 117 5 <br /> <br />C/7~ STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />