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<br />. I <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 />DATE RECE IWD <br /> <br />~-/I- 6 V <br /> <br />PHONE CONTACT FOR PERMITTING ~ <br /> <br />OWNER'S NAME Orl9.v4~ /J/oS 5 0;V) I!/.)A/c~ ('"0.\/</0 /Jf~ 0 c; PHONE <br />J <br /> <br />JOB ADDRESS --r 7J,t/ - J7?) J.. J 7J;? 7- J 77'<7 /11/$.>'.-9 J?" ;z. t:" .t1// . <br />~ , <br /> <br />7 3' g-~ oCt?:/ <br />,c.{', 3 J.i" Y.< <br /> <br />c;#' <br />tJ/~1 .-1.5 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # /5:"' ~~.- il/- olllJ - (J ~J OC)- O(J PO <br /> <br />(ORTAIN FROM PROPF.RTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[J SIGN <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />[J ADDITION <br /> <br />[JALTERATION )<!2J REPAIR <br /> <br />[J INSTALL <br /> <br />[J MOVE [J DEMOLISH <br />~LTI-FAMILY ~ OF UNITS <br /> <br />[J INDUSTRIAL <br /> <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[J OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />~/V' <br /> <br />fie ~/9Ce <br />, <br /> <br />S ,{ I't-' f Ie- ..5 <br />./ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />S~ -:r-. <br /> <br />HEIGHT <br /> <br />RESIPENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET <br />C~RCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF 'SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />[J BUILDING <br />[J ELECTRICAL <br /> <br />$ 7,,(00 <br /> <br />~(f? <br />f-;"'-- <br /> <br />PERMITS REQUESTED <br /> <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />[J W.R.E.C. <br /> <br />[J PLUMl3ING <br />D MECHANICAL <br /> <br />$ <br /> <br />D GAS <br /> <br />~ROOFING <br /> <br />[J SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br />c()~qm:Rc~ECTION <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />OTHER <br /> <br />/ .// <br />.JU./f-/ C It? W'(' /I <br />/.-:7 <br />SIGNATURE ../......'.--:.' --~~? <br />~~~~"-_.... <br /> <br />***************************************************************** <br /> <br />COMPANY )/tA/e I/j /O()/~ C,:.,',. <br /> <br />STATE CERT OR REGIST # ('0 ("c 0 .<;--7 f 5"' ,::j <br />