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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 RECEIVED <br /> <br />~ -It -of <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NA.ME c.. HA R..L I f:: AN N ~ ~5 ~ I-l!;:?PNAN DEz.. PHONE <br />JOB ADDRESS 371:)9 0 LD MIll.. LANE ~EPH YRI-t ILLS F L ~3V)4 2.- <br /> <br />LEGAL DESCRIPTION: LOT(S) 2>4 <br /> <br />SUBDIVI S ION 5U!v\ MER. 1-+1 L-L. <br /> <br />BLOCK <br /> <br />PARCEL ID # J2-2"-2../-0100-COo(')o-o340 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION aa:ADDITION [JALTERATION D REPA,IR D INSTALL <br /> [JSIGN DMOVE 0 DEMOLISH <br />PROPOSED USE:~GL FAMILY DWELLING [JMULTI-FAMILY [J# OF UNITS D MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL [J SWIMMING POOL [J <br /> OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />~~ <br /> <br />BUILDJtNG SIZE <br /> <br />SQUARE FOOTAGE 331 . LI vllw fXR HEIGHT 5' c.LG <br />( <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUHDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: 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 />~ BUILDING <br />R'ELECTRICAL <br /> <br />$433.3Cr5OO <br />I <br /> <br />VALUATION OF TOTAL CONSTRUCTI <br /> <br /> <br />PERMITS REQUESTED <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />[J PLUMBING <br />g MECHANICAL <br /> <br />$ <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: ~ BLOCK <br />FINISffiED FLOOR ELEVATIONS <br /> <br />D FRAME <br /> <br />[J STEEL <br /> <br />D OTHER <br /> <br />YE~ ~~g <br />Q) <br /> <br />IS PROJECT IN FLOOD ZONE AHEAD <br /> <br /> <br /> <br />BUILDIllR <br />SIGNATURE1v L.. <br /> <br />COMPANY HARTWiG CON'6rRUCTION LLC. <br /> <br />/, <br />/ <br /> <br />;~ <br /> <br />STATE CERT OR REGIST # CBc. 02-2-119 <br /> <br />****************************************************************** <br /> <br />ELECTaICI~ <br />SIGNATURE <br /> <br />COMPANY Z. ~~ \. L.L> <br /> <br />ELEc\ Sen..u. LL C-. <br /> <br />STATE CERT OR REGIST # () c:JU ?..lC.. g- () IL <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />MECllAljllCAL I' U <br />SIGNAtURE1~J. ~ <br /> <br />****************************************************************** <br /> <br />COMPANY ~(jCJTH~<.f (]~F<Jt!...,r Eh/T <br />STATE CERT OR REGIST # CJr:\-c t 1113679 <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPAi>.JY <br /> <br />SIGNA ttJRE <br /> <br />STATE CERT OR REGIST # <br />