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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8m st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />7 11 -- <br />OWNER'S NAME GI'Il.IJ J tier/20m I 1 n(/ , <br /> <br />JOB ADDRESS '7SDOJ (}rr7p_vI \~/'Vle-- '!imJ 7"'f'lh.'1rh ,/Lr. J <br /> <br />PHONE 91\?- ?22 - 251\ ?tI <br />r;::1. 335l/ I <br /> <br />LEGAL !DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID # Aei!.. ,~LJ "h.vn \~hp. '1,./;,(,' k'2.1 E- <br />WORK PROPSED: ~NEW CONSTRUCTION DADDITION <br />DSIGN D MOVE <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPF.RTY TAX NOTICE) <br /> <br />DALTERATION <br />D DEMOLISH <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D # OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />D OTHER <br /> <br />DESCRiPTION OF WORK <br />BUILD~NG SIZE J <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />$tllll .-fdry \Qel>>e.rj /J)a1er d;,~-fr,'hvi/()J1 .,S/tf1iev11 j RroJuXtlj) SlIn'NJ1 <br />It SQUARE FOOTAGE N II HEIGHT 'AI It <br /> <br />RESID~NTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />CO~RCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF $IGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />, PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />PERMITS REQUESTED <br /> <br />D BUILJ!>ING <br />D ELECTRICAL <br /> <br />$ <br /> <br />Nil <br />Nit <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />D PLUM$ING <br />D MECHANICAL <br /> <br />$-1,1 iJ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE ~F CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISUED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br />P<?~TEY\q;g;q~';SEpTIC):N <br /> <br /> <br />IilfliEoli.R (/t;' j'Jy € EK(!atn!,'v"'n. <br />SIGNATURE <br /> <br />COMPAN <br /> <br />STATE CERT OR REGIST # tlJt.05 r;, ? 'I & <br /> <br />****************************************************************** <br /> <br />ELECTkICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMB!i:R <br /> <br />COMPANY <br /> <br />SIGNMURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNNrURE <br /> <br />STATE CERT OR REGIST # <br /> <br />~******:*****~************:***************~':.;;;;~;*~~;;: LZo~;Ud~ <br />OTHE~ {Jr,Je, b-rBiUl& tJ-f-; l "ry 4 EXillt/d.'tJ'-~A COMPANY Ruc:o,-,,- (j I-;-(J <br /> <br />SIGNA/TURE <br /> <br />STATE CERT OR REGIST # RuOD r;,t:.<./--50 <br />